ICU护士中心静脉导管维护技术相关证据应用影响因素的质性研究

A qualitative study on influencing factors of relevant evidence of central venous catheter maintenance techniques among ICU nurses

目的了解ICU中心静脉导管维护技术中证据应用的促进与阻碍因素,以此推动证据在临床中得到广泛应用。方法立意取样,抽取武汉市某三级甲等医院ICU内13名护士参与访谈会,以健康服务领域研究成果的应用促进综合框架为依据设计访谈提纲,对访谈资料进行分析总结。结果对访谈结果进行整理,发现在中心静脉导管维护证据的促进因素有护士对证据的充分信任、中心静脉导管维护小组的成立、中心静脉导管维护专项管理的强化、护士的职业获益感;阻碍因素包含科室环境待改进、维护工具待简化、患者的经济条件有限以及人力资源不足。结论创建良好的循证护理文化,遵循以证据为根本的原则,通过专科小组强化专项管理的方法,增加促进因素、减少阻碍因素,使中心静脉导管维护证据更好的应用。

Objective To understand the promoting and hindering factors of evidence application in ICU central venous catheter maintenance technology,so as to promote the widespread application of evidence in clinical practice.Methods Totally 13 nurses from the ICU of a tertiary and first-class hospital in Wuhan were selected to participate in the interview,and the interview outline was designed based on the comprehensive framework of application promotion of research results in the field of health services,and the interview data were analyzed and summarized.Results After sorting out the interview results,it was found that the promoting factors of the evidence of central venous catheter maintenance included the nurses'full trust in the evidence,the establishment of the central venous catheter maintenance team,the strengthening of the special management of central venous catheter maintenance,and the nurse's sense of professional benefit;Hindering factors included the environment of the Department needed to be improved,The maintenance needed to be simplified,the lack of human resources,and the limited economic conditions of the patients.Conclusion Efforts should be made to create a good evidence-based nursing culture,follow the principle of evidence-based,strengthen the special management method through the specialist team,increase the promoting factors and reduce the hindering factors,so that the evidence of central venous catheter maintenance can be better applied.