实施虚弱特异性术后医嘱集,改善虚弱成人择期胸外科手术的术后疗效。

IF 1.2 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI:10.1097/NCQ.0000000000000784
Amani Allen, Mary Ann Francisco, Jessica Jatis, Yonous Turner, Rachel Nordgren, Daniel Rubin, Megan Huisingh-Scheetz, Darren S Bryan, Jessica Donington, Mark K Ferguson, Lauren J Gleason, Maria Lucia Madariaga
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引用次数: 0

摘要

背景:虚弱与患者术后的不良预后密切相关。目前的术后护理标准很少考虑到虚弱状态。当地问题:在一家学术医疗中心,没有标准化的方案来优化针对虚弱患者的术后专门护理:方法:采用 "到达、效果、采用、实施、维持 "的实施框架,进行实施前/后的准实验研究设计:干预措施:制定了一套针对虚弱症的术后医嘱(FPOS),包括量身定制的护理、活动量和营养目标:结果:护士自我报告的对虚弱的熟悉程度(P = .003)和对 FPOS 的认知程度(P 结论:实施 FPOS 后,护士对虚弱的熟悉程度和认知程度均有明显改善:实施 FPOS 后,护士对虚弱的了解、认识和医嘱集的利用率都有所提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing a Frailty-Specific Postoperative Order Set to Improve Postoperative Outcomes in Frail Adults After Elective Thoracic Surgery.

Background: Frailty is independently associated with adverse patient outcomes after surgery. The current standards of postoperative care rarely consider frailty status.

Local problem: There was no standardized protocol to optimize specialized postoperative care for frail patients at an academic medical center.

Methods: A quasi-experimental pre-/postimplementation study design, using the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation framework, was utilized.

Interventions: A frailty-specific postoperative order set (FPOS) was developed, including tailored nursing care, activity levels, and nutritional goals.

Results: There were significant improvements in nurse's self-reported familiarity with frailty ( P = .003) and FPOS awareness ( P < .001). The number of orders for delirium prevention, elimination, nutrition, sleep promotion, and sensory support increased ( P < .001).

Conclusions: Implementing an FPOS showed improvements in nurse frailty knowledge, awareness, and order set utilization.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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