探讨家庭中心静脉导管护理教育的认识。

IF 1.9 3区 医学 Q2 NURSING
Journal of Pediatric Oncology Nursing Pub Date : 2021-05-01 Epub Date: 2021-02-22 DOI:10.1177/1043454221992293
Kiera Bailie, Lisa Jacques, Angele Phillips, Paula Mahon
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引用次数: 3

摘要

小儿肿瘤患者在原位放置外中心静脉导管(CVC)可以出院。护理人员应该在出院前学习如何护理CVC,同时也要处理他们孩子的新癌症诊断。本研究旨在评估护理人员对CVC教育计划的看法,以确定改进的机会。采用基于证据的协同设计方法,分3个阶段进行了定性研究,研究对象包括护理人员和一名从不列颠哥伦比亚省儿童医院肿瘤学/血液学/BMT住院病房出院的青少年患者。第一阶段包括半结构化面试,以获得对现有CVC教育计划的反馈。在第二阶段,更新或开发和实施教育资源。对于第三阶段,修订后的CVC教育计划通过焦点小组和半结构化访谈进行评估。访谈记录使用QSR NVivo®进行分析。最初的CVC教育计划总体上很受欢迎。据报道,护士提供的反复指导和支持增加了执行CVC技能的信心。与会者赞赏满足学习需要的多模式方法,并表示有兴趣获得更多的视觉辅助工具。护士实践中的不一致和提供的“提示和技巧”被认为是护理人员在学习新技能时面临的挑战。制作描述CVC护理的视频是为了提供一种额外的视觉工具,减少护理中的不一致性,并为家中的护理人员提供支持。在家照顾CVC对护理人员来说是具有挑战性和压倒性的。需要标准化的多模式教育计划来支持家庭护理人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring Perceptions of Education for Central Venous Catheter Care at Home.

Exploring Perceptions of Education for Central Venous Catheter Care at Home.

Exploring Perceptions of Education for Central Venous Catheter Care at Home.

Exploring Perceptions of Education for Central Venous Catheter Care at Home.

Pediatric oncology patients with an external central venous catheter (CVC) in situ can be discharged from the hospital. Caregivers are expected to learn how to care for the CVC prior to discharge while also dealing with their child's new cancer diagnosis. This study aimed to evaluate the perceptions of a CVC education program received by caregivers to identify opportunities for improvement. A qualitative study was conducted in 3 stages, using an evidence-based co-design approach, involving caregivers and one adolescent patient discharged from the British Columbia Children's Hospital Oncology/Hematology/BMT inpatient unit. Stage I involved semi-structured interviews to gain feedback on the existing CVC education program. In Stage II, educational resources were updated or developed and implemented. For Stage III, the revised CVC education program was evaluated through a focus group and semi-structured interviews. Interview transcripts were analyzed using QSR NVivo®. The original CVC education program was overall well received. Repeated instruction and support provided by nurses was reported to have increased confidence with performing CVC skills. Participants appreciated the multimodal approach to meet learning needs and expressed interest in additional visual aids. Inconsistencies in nurses' practice and offers of "tips and tricks" were identified to be challenging for caregivers while learning a new skill. Videos depicting CVC care were developed to provide an additional visual tool, decreased inconsistencies in care, and support to caregivers at home. Caring for a CVC at home is challenging and overwhelming for caregivers. A standardized multimodal education program is required to support caregivers at home.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: SPECIAL PATIENTS NEED SPECIAL NURSES Caring for children with cancer is one of the most technically and emotionally difficult areas in nursing. Not only are you dealing with children and adolescents who hurt, you must reassure and educate families, balance a multitude of other health care professionals, and keep up with ever-changing nursing practice and care. To help special nurses stay aware of the newest effective nursing practices, innovative therapeutic approaches, significant information trends, and most practical research in hematology and pediatric oncology nursing, you need the Journal of Pediatric Oncology Nursing. The journal offers pediatric hematology, oncology, and immunology nurses in clinical practice and research, pediatric social workers, epidemiologists, clinical psychologists, child life specialists and nursing educators the latest peer-reviewed original research and definitive reviews on the whole spectrum of nursing care of childhood cancers, including leukemias, solid tumors and lymphomas, and hematologic disorders. JOPON covers the entire disease process--diagnosis, treatment, recovery, and survival, as well as end-of-life care. Six times a year, the Journal of Pediatric Oncology Nursing introduces new and useful nursing care practice and research from around the world that saves you time and effort. Just some of the spirited topics covered include: Cancer survivorship including later-life effects of childhood cancer, including fertility, cardiac insufficiency, and pulmonary fibrosis Combination therapies Hematologic and immunologic topics Holistic, family-centered supportive care Improvement of quality of life for children and adolescents with cancer Management of side effects from surgery, chemotherapy, and radiation Management of specific symptoms/diseases/co-infections Medication tolerance differences in children and adolescents Pain control Palliative and end of life care issues Pharmacologic agents for pediatrics/clinical trial results Psychological support for the patient, siblings, and families The dynamic articles cover a wide range of specific nursing concerns, including: Advanced practice issues Clinical issues Clinical proficiency Conducting qualitative and quantitative research Developing a core curriculum for pediatric hematology/oncology nursing Encouraging active patient participation Ethical issues Evaluating outcomes Professional development Stress management and handling your own emotions Other important features include Guest Editorials from experts in the discipline, Point/Counterpoint debates, Roadmaps (personal insights into the nursing experience), and Proceedings and Abstracts from the annual Association for Pediatric Hematology/Oncology Nurses (APHON) conference. Your special patients need special nurses--stay special by subscribing to the Journal of Pediatric Oncology Nursing today! This journal is a member of the Committee on Publication Ethics (COPE).
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