<strong>Background: </strong>Management of stroke patients requires a multidisciplinary approach. Literature presents unequivocal evidence of improved outcomes when patients are treated in a stroke unit by...<strong>Background: </strong>Management of stroke patients requires a multidisciplinary approach. Literature presents unequivocal evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams made up of medical doctors, nurses, physiotherapists and occupational therapists. Among the multidisciplinary team members, physiotherapists and nurses are the largest professional workforce working with both stroke patients and survivors. This study, therefore, aims at investigating the role of nurses and physiotherapists in the management of stroke patients at the Adult University Teaching Hospital. <strong>Methodology:</strong> This study shall utilize a convergent parallel mixed method design where both quantitative and qualitative data will be collected at the same time resulting in two data sets which will eventually be merged at the point of discussion. The quantitative component shall utilize an analytical cross-sectional approach while the qualitative component shall use a qualitative case study approach. The study will be conducted at the Adult University Teaching Hospital in Lusaka. Data will be collected from all the 287 nurses and 37 physiotherapists working in the Emergency Department, Medical Wards, Adult Intensive Care Unit and the Department of Physiotherapy. Quantitative data will be analyzed using Statistical Package for social sciences. Descriptive statistics shall be computed on the role of nurses and physiotherapists in stroke care. In addition, chi-square and fisher’s exact tests will be used in the test for associations between variables while binary logistic regression will be used in identifying predictors of the various roles played by nurses and physiotherapists in the management of stroke patients. Qualitative data will be analyzed using thematic analysis in order to generate new concepts and a substantive model of care for stroke patients. <strong>Conclusion: </strong>Despite research evidence of improved outcomes when stroke patients are managed by a multi-disciplinary team, data on the role of different members of the multidisciplinary care team in stroke management is almost non-existent from the Zambia context. It is therefore hoped that information obtained from this study will be used as a basis for recommending the streamlined role of the nurse and physiotherapist in both acute care and rehabilitation.展开更多
目的探讨“四体系一平台”护理管理模式预防重症监护病房(intensive care unit,ICU)中心导管相关血流感染(central line associated blood stream infection,CLABSI)的效果,降低CLABSI发生率。方法采用不同病例前-后对照研究,选取2019年...目的探讨“四体系一平台”护理管理模式预防重症监护病房(intensive care unit,ICU)中心导管相关血流感染(central line associated blood stream infection,CLABSI)的效果,降低CLABSI发生率。方法采用不同病例前-后对照研究,选取2019年9月至2021年8月本院4个外科ICU病区收治的5968例患者作为研究对象,其中2019年9月至2020年8月收治的2852例患者设为实施前组,2020年9月至2021年8月收治的3116例患者设为实施后组。实施前组应用常规护理管理方法,实施后组应用“四体系一平台”护理管理模式。比较两组患者CLABSI发生率,实施前后护士输液附加装置更换合格率、手卫生依从性;两组患者置管最大无菌屏障合格率、皮肤消毒合格率。结果应用“四体系一平台”护理管理模式后,患者CLABSI率由1.96‰(29/14765)降至0.97‰(17/17458),两组比较,差异具有统计学意义(χ^(2)=5.504,P=0.019);护士输液附加装置更换合格率(92.86%v 99.73%,χ^(2)=264.498,P<0.001)、手卫生方法正确率(99.02%v 99.73%,χ^(2)=32.342,P<0.001)、手卫生依从性(99.18%v 99.49%,χ^(2)=5.664,P=0.019)、最大无菌屏障合格率(95.93%v 99.69%,χ^(2)=10.399,P=0.002)、皮肤消毒合格率(93.61%v 98.80%,χ^(2)=67.630,P<0.001)均较实施前组提高,两组比较,差异有统计学意义。结论“四体系一平台”护理管理模式有利于促进ICU护士在导管维护时的规范性、有效性和依从性,降低ICU患者CLABSI率。展开更多
目的构建本土化、科学可靠的麻醉恢复室(post anesthesia care unit,PACU)护理质量敏感指标体系,为护理质量评价提供标准化工具。方法以结构-过程-结果质量评价模型为理论依据,基于循证分析和半结构式访谈制订函询问卷,通过德尔菲法对1...目的构建本土化、科学可靠的麻醉恢复室(post anesthesia care unit,PACU)护理质量敏感指标体系,为护理质量评价提供标准化工具。方法以结构-过程-结果质量评价模型为理论依据,基于循证分析和半结构式访谈制订函询问卷,通过德尔菲法对14名专家进行3轮函询,采用层次分析法确定指标权重。结果3轮专家咨询的问卷有效回收率均为100.0%、专家意见的肯德尔和谐系数分别为0.198~0.235、0.267~0.316、0.364~0.386(均P<0.05)。最终形成了包括2项结构指标、3项过程指标、6项结果指标的麻醉恢复室护理质量敏感指标体系,所有指标各项重要性赋值均数>3.50、变异系数<0.25。结论PACU护理质量敏感指标体系具有较高的协调性和一致性,可为PACU护理质量的管理提供科学性、可靠性、可操行性较强的依据。展开更多
文摘<strong>Background: </strong>Management of stroke patients requires a multidisciplinary approach. Literature presents unequivocal evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams made up of medical doctors, nurses, physiotherapists and occupational therapists. Among the multidisciplinary team members, physiotherapists and nurses are the largest professional workforce working with both stroke patients and survivors. This study, therefore, aims at investigating the role of nurses and physiotherapists in the management of stroke patients at the Adult University Teaching Hospital. <strong>Methodology:</strong> This study shall utilize a convergent parallel mixed method design where both quantitative and qualitative data will be collected at the same time resulting in two data sets which will eventually be merged at the point of discussion. The quantitative component shall utilize an analytical cross-sectional approach while the qualitative component shall use a qualitative case study approach. The study will be conducted at the Adult University Teaching Hospital in Lusaka. Data will be collected from all the 287 nurses and 37 physiotherapists working in the Emergency Department, Medical Wards, Adult Intensive Care Unit and the Department of Physiotherapy. Quantitative data will be analyzed using Statistical Package for social sciences. Descriptive statistics shall be computed on the role of nurses and physiotherapists in stroke care. In addition, chi-square and fisher’s exact tests will be used in the test for associations between variables while binary logistic regression will be used in identifying predictors of the various roles played by nurses and physiotherapists in the management of stroke patients. Qualitative data will be analyzed using thematic analysis in order to generate new concepts and a substantive model of care for stroke patients. <strong>Conclusion: </strong>Despite research evidence of improved outcomes when stroke patients are managed by a multi-disciplinary team, data on the role of different members of the multidisciplinary care team in stroke management is almost non-existent from the Zambia context. It is therefore hoped that information obtained from this study will be used as a basis for recommending the streamlined role of the nurse and physiotherapist in both acute care and rehabilitation.
文摘目的构建本土化、科学可靠的麻醉恢复室(post anesthesia care unit,PACU)护理质量敏感指标体系,为护理质量评价提供标准化工具。方法以结构-过程-结果质量评价模型为理论依据,基于循证分析和半结构式访谈制订函询问卷,通过德尔菲法对14名专家进行3轮函询,采用层次分析法确定指标权重。结果3轮专家咨询的问卷有效回收率均为100.0%、专家意见的肯德尔和谐系数分别为0.198~0.235、0.267~0.316、0.364~0.386(均P<0.05)。最终形成了包括2项结构指标、3项过程指标、6项结果指标的麻醉恢复室护理质量敏感指标体系,所有指标各项重要性赋值均数>3.50、变异系数<0.25。结论PACU护理质量敏感指标体系具有较高的协调性和一致性,可为PACU护理质量的管理提供科学性、可靠性、可操行性较强的依据。
