质量改进:提高SANE对循证实践的利用率。

IF 0.2 Q4 NURSING
Priscilla M Simms-Roberson, Susan Thul, Jenny Holcombe
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引用次数: 0

摘要

背景:性侵护士审查员(SANE)项目的不同方案导致患者护理不一致,并表明循证建议没有得到利用。为了解决这个问题,在门诊强奸危机中心(RCC)实施了一项循证治疗方案,旨在改善对经历过性侵的患者的护理。除了实施新协议外,还提供了SANE教育计划。方法:回顾性分析图表。质量改进项目实施前后共检查了21个方案组成部分。此外,在SANE教育项目实施前、实施后和实施后3个月进行了知识测验和自我效能感工具。结果:在实施之前,RCC检查对21个方案组成部分的总体符合率为42.1%,医院检查对17.9%。实施后,RCC检查的总体依从性提高到85.3%,医院检查的总体遵从性提高到56%。当单独检查协议组件时,合规性差异很大。在比较前后得分时,SANE知识和自我效能感有所提高;然而,这些结果在统计学上并不显著,并且被发现具有不相等的方差。结论:护士处于理想的位置,能够促使方案发生变化,从而对患者的结果产生积极影响。其他护理专业人员可以利用质量改进项目的内容、步骤、经验教训和结果,创建类似的循证实践质量改进项目,以弥补实践中的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality Improvement: Increasing SANE Utilization of Evidence-Based Practice.

Background: Varying protocols among sexual assault nurse examiner (SANE) programs lead to inconsistent patient care and indicate that evidence-based recommendations are not being utilized. To address this problem, an evidence-based treatment protocol designed to improve care provided to patients who have experienced sexual assault was implemented at an outpatient rape crisis center (RCC). In addition to implementing the new protocol, a SANE education program was provided. Methods: Retrospective chart reviews were conducted. A total of 21 protocol components were examined pre- and post-implementation of the quality improvement project. Additionally, a knowledge quiz and self-efficacy tool were administered before, immediately after, and 3 months after the SANE education program. Results: Before implementation, the overall compliance with the 21 protocol components was 42.1% for RCC exams and 17.9% for hospital exams. After implementation, the overall compliance increased to 85.3% for RCC exams and 56% for hospital exams. When examining protocol components individually, compliance varied dramatically. There was an improvement in SANE knowledge and self-efficacy when comparing pre- and post-scores; however, the results were not statistically significant and were found to have unequal variances. Conclusion: Nurses are ideally positioned to instigate protocol changes that will positively impact patient outcomes. Other nursing professionals can utilize the quality improvement project content, steps, lessons learned, and results to create similar evidence-based practice quality improvement projects to address gaps in practice.

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CiteScore
0.60
自引率
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发文量
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