物理治疗师对重症监护中生理监测警报的态度和做法:一项单中心试点研究

IF 0.4 Q4 REHABILITATION
Deirdre O’Dowd, A. Harte, C. O’Sullivan
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引用次数: 1

摘要

背景:对警报的脱敏或警报疲劳是医护人员关注的问题。关于物理治疗师与临床警报的关系或受到临床警报的影响,我们知之甚少。这项试点研究旨在探讨物理治疗师在重症监护中对生理监测警报(PMA)的态度和做法。方法:对在爱尔兰第四模式医院工作的有重症护理经验的理疗师进行在线调查。所有符合条件的理疗师都被邀请通过电子邮件(n = 33)。获取了人口统计信息,以及关于管理PMA的经验、做法、障碍和促进者的信息。结果:有效率为76%(25/33)。所有受访者都在电话和周末工作,其中一名受访者负责管理当前的日常重症监护案件。大多数受访者(20/25,80%)认为所有PMA在临床上都很重要,但在工作场所会分散注意力(19/25,76%)。受访者在听到PMA时通常会产生负面情绪。所有受访者(25/25,100%)都报告注意到了患者的PMA,觉得自己有责任做出回应。受访者对PMA的反应表现出不同程度的自信,但通常评估警报的原因(24/25,96%)并检查患者的病情(24/25、96%)。教育和培训被确定为物理治疗师在管理重症监护警报方面的关键障碍和推动者。结论:本研究为物理治疗师在重症监护中对PMA的态度和实践提供了初步数据。为了验证这项试点研究的结果,并进一步探索重症物理治疗师的警报疲劳,还需要进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physiotherapists’ attitudes and practices towards physiologic monitor alarms in critical care: A single-centre pilot study
BACKGROUND: Desensitisation to alarms, or alarm fatigue, is a concern for healthcare staff. Little is known about how physiotherapists relate to, or are affected by clinical alarms. This pilot study aimed to explore physiotherapists’ attitudes and practices towards physiologic monitor alarms (PMA) in critical care. METHODS: An online survey of physiotherapists with critical care experience working at a Model 4 Irish Hospital. A sample of convenience was used with all eligible physiotherapists invited to complete the online survey via email (n = 33). Demographic information was captured, as well as information on experiences, practices, and barriers and facilitators to managing PMA. RESULTS: The response rate was 76% (25/33). All respondents worked on-call and weekends, with one respondent managing a current day-to-day critical care caseload. The majority of respondents (20/25, 80%) perceived all PMA as clinically important, but a workplace distraction (19/25, 76%). Negative emotions were commonly experienced by respondents on hearing PMA. All respondents (25/25, 100%) reported to notice their patient’s PMA, feeling they had a responsibility to respond. Respondents indicated varying levels of self-confidence in responding to PMA but commonly assessed the cause of the alarm (24/25, 96%) and checked the patient’s condition (24/25, 96%). Education and training was identified as a key barrier and facilitator for physiotherapists in terms of managing alarms in critical care. CONCLUSION: This study provides preliminary data on physiotherapists’ attitudes and practices towards PMA in critical care. Additional studies are necessary in order to verify the findings of this pilot study and further explore alarm fatigue amongst critical care physiotherapists.
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来源期刊
Physiotherapy Practice and Research
Physiotherapy Practice and Research Health Professions-Occupational Therapy
CiteScore
0.50
自引率
0.00%
发文量
28
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