确定先天性心脏病循证护理的优先实践领域：意大利儿科心脏病学会附属的非医疗保健专业人员的探索性调查

IF 1.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

International journal of cardiology. Congenital heart disease Pub Date : 2025-08-28 DOI:10.1016/j.ijcchd.2025.100616

Arianna Magon , Serena Francesca Flocco , Samantha Scolari , Gianluca Conte , Cristina Arrigoni , Greta Ghizzardi , Giovanna Campioni , Raluca-Bianca Nedesca , Enrico Gambirasi , Floriana Di Iorio , Rossella Orlando , Mariassunta Castaldi , Chiara Gatti , Paola Claudia Fazio , Mariella Rubin , Cinzia Pirti , Stefania Baratta , Assunta Carandente , Salvatore Angileri , Rosario Caruso

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引用次数: 0

摘要

确定先天性心脏病（CHD）患者护理实践的优先领域对于解决不断变化的护理需求和支持专业发展至关重要。然而，指导这种优先次序的标准化标准仍然有限。方法于2024年4月至9月对意大利儿科心脏病和先天性心脏病学会（SICPED）的所有护士成员进行在线调查，进行横断面观察性研究。通过文献回顾和专家咨询，确定了16个冠心病相关实践领域和5个优先标准。参与者根据五个标准对每个区域进行5分李克特评分。结果共78名护士完成调查。其中，缺乏临床指南（平均= 4.04±0.98）和专业能力要求水平（平均= 3.95±1.24）得分最高。混合方差分析显示，不同实践领域和标准的得分存在显著差异（F(48) = 2.385, p < .001）。在多个标准中，四个领域被列为优先领域：对冠心病患者及其家人的社会心理和情感支持，新生儿阿片类药物戒断的管理，姑息治疗和临终关怀，以及冠心病青少年向成人服务的过渡。结论：本研究为确定冠心病患者护理实践的优先事项提供了结构化的基础。这些发现可以指导跨学科策略、临床指南和实践社区内的专业培训计划的发展。

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Identification of priority practice areas for evidence-based care in congenital heart Disease: An exploratory Survey of non-medical healthcare professionals affiliated with the Italian Society of Pediatric Cardiology

Introduction

s Identifying priority areas of nursing practice for individuals with congenital heart disease (CHD) is essential to address evolving care needs and support professional development. However, standardized criteria to guide such prioritization remain limited.

Methods

A cross-sectional observational study was conducted between April and September 2024 using an online survey distributed to all nurse members of the Italian Society of Pediatric Cardiology and Congenital Heart Diseases (SICPED). Sixteen CHD-related practice areas and five prioritization criteria were defined through literature review and expert consultation. Participants rated each area on a 5-point Likert scale according to the five criteria.

Results

A total of 78 nurses completed the survey. Among the criteria, the absence of clinical guidelines (mean = 4.04 ± 0.98) and the required level of professional competence (mean = 3.95 ± 1.24) received the highest scores. Mixed ANOVA revealed significant variability in scores across practice areas and criteria (F(48) = 2.385, p < .001). Four areas emerged as priority domains across multiple criteria: psychosocial and emotional support for individuals with CHD and their families, management of neonatal opioid withdrawal, palliative and end-of-life care, and the transition of adolescents with CHD to adult services.

Conclusions

This study provides a structured foundation for identifying nursing practice priorities in the care of individuals with CHD. These findings may guide the development of interdisciplinary strategies, clinical guidelines, and professional training initiatives within communities of practice.

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来源期刊

International journal of cardiology. Congenital heart disease Cardiology and Cardiovascular Medicine

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审稿时长

83 days