本文關(guān)鍵詞：護(hù)士對(duì)心電監(jiān)護(hù)儀報(bào)警應(yīng)答行為影響因素的質(zhì)性研究　出處：《浙江大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

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【摘要】：目的本研究通過(guò)對(duì)臨床護(hù)士的訪談,深入了解她們對(duì)心電監(jiān)護(hù)儀報(bào)警的應(yīng)答體驗(yàn),識(shí)別其選擇何種報(bào)警應(yīng)答行為的主要影響因素,并提出有針對(duì)性的建議,為護(hù)理管理者制定有效的臨床報(bào)警管理方案提供實(shí)證依據(jù)。方法質(zhì)性研究中現(xiàn)象學(xué)研究方法。采用目的抽樣法對(duì)某市不同等級(jí)醫(yī)院的15名臨床護(hù)士進(jìn)行半結(jié)構(gòu)式深入訪談,現(xiàn)場(chǎng)錄音,同時(shí),注意觀察受訪者的舉止、表情變化及音調(diào)、語(yǔ)速方面的信息,并做好記錄。然后將錄音資料逐字逐句轉(zhuǎn)錄成文字資料,雙人核對(duì),采用Colaizzi資料分析法對(duì)文本資料及現(xiàn)場(chǎng)記錄進(jìn)行分析。結(jié)果經(jīng)過(guò)對(duì)訪談資料的反復(fù)閱讀、分析、反思、歸類(lèi)和提煉,最終得出4個(gè)主題。1.護(hù)士對(duì)設(shè)置心電監(jiān)護(hù)儀報(bào)警的目的認(rèn)識(shí);2.護(hù)士應(yīng)答心電監(jiān)護(hù)儀報(bào)警的行動(dòng)線索:① 患者病情②工作職責(zé)③來(lái)自他人的壓力④自身需求⑤既往經(jīng)歷⑥患者安全3.護(hù)士應(yīng)答心電監(jiān)護(hù)儀報(bào)警的障礙:①工作繁忙②不一定能及時(shí)發(fā)現(xiàn)報(bào)警③不必要的報(bào)警太多了④患方對(duì)休息的需求4.護(hù)士對(duì)不應(yīng)答心電監(jiān)護(hù)儀報(bào)警的風(fēng)險(xiǎn)認(rèn)識(shí)。結(jié)論護(hù)士對(duì)心電監(jiān)護(hù)儀報(bào)警存在不當(dāng)應(yīng)答行為,如:延遲應(yīng)答、不應(yīng)答、以及關(guān)閉報(bào)警等;護(hù)士對(duì)心電監(jiān)護(hù)儀報(bào)警的應(yīng)答行為受到多種因素影響,包括:護(hù)士對(duì)設(shè)置心電監(jiān)護(hù)儀報(bào)警的目的認(rèn)識(shí)、護(hù)士應(yīng)答心電監(jiān)護(hù)儀報(bào)警的行動(dòng)線索、護(hù)士應(yīng)答心電監(jiān)護(hù)儀報(bào)警的障礙以及護(hù)士對(duì)不應(yīng)答心電監(jiān)護(hù)儀報(bào)警的風(fēng)險(xiǎn)認(rèn)識(shí)。護(hù)理管理者應(yīng)該從護(hù)士的角度,理解其行為,減輕護(hù)士工作分擔(dān),加強(qiáng)相關(guān)教育和培訓(xùn),提高護(hù)士對(duì)心電監(jiān)護(hù)儀報(bào)警的風(fēng)險(xiǎn)意識(shí),提高心電監(jiān)護(hù)儀報(bào)警質(zhì)量,改善心電監(jiān)護(hù)儀報(bào)警告知體系,加強(qiáng)護(hù)患配合,力求實(shí)現(xiàn)報(bào)警的安全管理。
[Abstract]:Objective this study through the interview of clinical nurses, in-depth understanding of their ECG monitor alarm response experience, identify their choice of alarm response behavior of the main factors, and put forward targeted recommendations. To provide empirical evidence for nursing managers to formulate effective clinical alarm management scheme. Methods Phenomenology research method in qualitative study. 15 clinical nurses in different grade hospitals in a certain city were semi-structured by objective sampling method. In-depth interviews. At the same time, watch the interviewee's behavior, expression change and tone, speed of speech information, and make a good record. Then record the recorded data verbatim into text material, double check. Colaizzi data analysis method was used to analyze the text data and site records. Results after repeated reading, analysis, reflection, classification and refinement of the interview materials. Finally, four themes. 1. Nurses know the purpose of setting up ECG monitor alarm. 2. The action clue of nurses responding to ECG monitor alarm: 1 patient's condition 2 work responsibilities 3 pressure from others 4 self demand 5 past experience 6 patients' safety 3. The obstacle of nurses answering ECG monitor alarm: 3. 1 busy work 2 can not be found in time to alarm 3 unnecessary alarm too many patients for the rest of the demand 4. Nurses do not respond to ECG monitor alarm risk awareness. Conclusion there is a nurse alarm ECG monitor alarm. Improper response. Such as: delayed response, non-response, and turn off the alarm, etc. The response behavior of nurses to ECG monitor alarm was affected by many factors, including: nurses' understanding of the purpose of setting up ECG monitor alarm, the action clue of nurses responding to ECG monitor alarm. The obstacle of nurses responding to ECG monitor alarm and the risk awareness of nurses not responding to ECG monitor alarm. Nursing managers should understand their behavior from the perspective of nurses and reduce the sharing of nurses' work. Strengthen relevant education and training, improve nurses' awareness of the risk of ECG monitor alarm, improve ECG monitor alarm quality, improve ECG monitor alarm notification system, strengthen nurse-patient cooperation. To achieve alarm safety management.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R47

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