Mei He, Ying Wang, Hui Wang, Mei Wang, Mei J Du, Jie Xiong, Chun L Li, Shu Huang, Xin Y Zhang
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引用次数: 0
摘要
背景:当地问题:2021 年 5 月至 7 月期间,我院重症监护病房(ICU)的腹泻率为 37.14%。护士们表示,腹泻患者的护理负担为中度至重度:干预措施:腹泻风险筛查工具和应对措施:干预措施:通过广泛的文献综述,开发了腹泻风险筛查工具和对策。干预措施:通过广泛的文献综述,开发了腹泻风险筛查工具和应对措施,并将工具整合到电子健康记录系统中:结果:腹泻率从 37.14% 降至 17.33% ( P = .000)。护士在腹泻评估、风险因素筛查、药剂选择和对策提供等方面对实践标准的依从性有所提高 ( P 结论:该项目开发的循证工具能够帮助护士在腹泻评估、风险因素筛查、药剂选择和对策提供等方面提高依从性:为本项目开发的循证工具有助于降低重症监护室的腹泻率。
Reducing Diarrhea in Critically Ill Patients Receiving Enteral Nutrition Support: An Evidence-Based Quality Improvement Project.
Background: Diarrhea during enteral nutrition may induce various complications and increase the nursing workload.
Local problem: The diarrhea rate in our intensive care units (ICUs) was 37.14% from May to July 2021. Nurses reported a moderate to heavy burden regarding care for those with diarrhea.
Methods: A pre-post implementation design was used to evaluate the impact of evidence-based interventions for diarrhea screening and prevention.
Interventions: A diarrhea risk screening tool and countermeasures were developed through an extensive literature review. Tools were integrated into the electronic health record system.
Results: The rate of diarrhea decreased from 37.14% to 17.33% ( P = .000). Nurse's compliance with practice standards increased for diarrhea assessment, risk factor screening, agent choice, and countermeasures provision ( P < .05).
Conclusions: The evidence-based tools developed for this project helped decrease the diarrhea rate in our ICUs.
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.