麻醉护士术中临时交接报告:标准化交接工具的使用和实施障碍。

Q3 Medicine
AANA journal Pub Date : 2023-04-01
Rachael Allen, Candice Nemec, Crystal O'Guin, Suzanne Wright, Carrie Bowman Dalley
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引用次数: 0

摘要

术中要求高的性质给麻醉提供者带来了一些干扰,阻碍了有效的沟通。术中和术后标准化交接协议的实施改善了提供者的沟通;然而,这些协议仍未得到充分利用。虽然暂时的麻醉交接比永久性的麻醉交接发生得更频繁,但关于具体的护理过程转移是如何发生的数据有限。本研究的目的是探讨注册麻醉师护士对标准化交接工具的使用情况,以及术中临时交接过程中实施的障碍。这项探索性混合方法研究的数据是通过16个问题的自愿电子调查收集的。大多数参与者(81.2%)报告说,他们在临时交接期间没有使用标准化的交接工具,但超过一半(57.1%)的人认为应该使用这些工具。与未使用工具的参与者(71.9%)相比,使用标准化交接工具的参与者将“增加交接时间”列为重要障碍的可能性(48.6%)显著降低(X2(1) = 7.39, P = 0.007, V = 0.19)。未能使标准化移交成为设施标准护理和接受麻醉提供者缺乏接待也被列为实施的主要障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Temporary Intraoperative Handoff Report Among Nurse Anesthetists: Utilization of Standardized Handoff Tools and Barriers to Implementation.

The demanding nature of the intraoperative period presents several distractions to anesthesia providers that can hinder effective communication. Implementation of intraoperative and postoperative standardized handoff protocols have improved provider communication; however, these protocols remain underutilized. While temporary anesthesia handoffs arise more frequently than permanent handoffs, limited data exist on how the specific transfer of care processes transpire. The purpose of this study was to explore the usage of standardized handoff tools among certified registered nurse anesthetists, as well as the barriers to implementation during temporary intraoperative handoff. Data from this exploratory mixed-methods study were collected using a 16-question voluntary electronic survey. Most participants (81.2%) reported that they do not use a standardized handoff tool during temporary handoff, but over half (57.1%) believed such tools should be used. Study participants who used a standardized handoff tool were significantly less likely to rank "increases the time spent giving a handoff" as an important barrier (48.6%) compared with those who did not use a tool (71.9%), ( X2(1) = 7.39, P = .007, V = .19). Failure to make standardized handoffs a facility standard of care and lack of reception by receiving anesthesia providers were also ranked as major barriers to implementation.

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来源期刊
AANA journal
AANA journal Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
60
期刊介绍: Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.
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