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來源文獻資料
摘要
外文摘要
引文資料
題名:
某醫學中心醫護人員工作中尖銳物扎傷與相關因素之初步探討
書刊名:
護理暨健康照護研究
作者:
黃嗣棻
/
蘇喜
/
戴玉慈
作者(外文):
Huang, Szu-fen
/
Su, Syi
/
Dai, Yu-tzu
出版日期:
2012
卷期:
8:2
頁次:
頁117-127
主題關鍵詞:
針扎
;
尖銳物扎傷
;
職業安全
;
醫護人員
;
Needlestick
;
Sharps injuries
;
Occupational safety
;
Doctors and nurses
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
2
共同引用:
7
點閱:35
背景:加護病房重症患者常出現發燒症狀,易造成病人不舒適且增加代謝率及耗氧量;護理人員需能有效地執行發燒處置,因此了解護理人員在決策發燒處置時之情境脈絡是極為重要的議題。目的:探討加護病房護理人員執行發燒處置決策過程之文化脈絡。方法:採茁根理論研究法,以半結構式訪談指引對11位來自三家醫院、七個不同成人加護病房之護理人員進行一對一深入訪談。質性資料之分析過程以持續性比較、理論性抽樣、文獻查證、同儕檢視和專家審閱,來維持研究分析之正確性和嚴謹度。結果:「 加護病房發燒處置之單位文化」為本研究發現之主要範疇,是由「固著於傳統發燒處置」及「病房未制定發燒處置指引」兩個次類別所形成,它會深深影響加護病房護理人員執行重症病人發燒處置決策過程。本研究發現,護理人員會因為單位未制定發燒處置之臨床照護指引,就根據病房傳統的方式來處理重症病人的發燒症狀; 護理人員往往因為缺乏實證依據來執行發燒處置,內心容易產生不確定感,可能降低病人發燒照護品質。結論/實務應用:本研究發現加護病房發燒處置之單位文化是影響重症護理人員執行發燒處理之重要因素,因此我們建議,護理教育和醫療機構在制定發燒處置臨床指引時,應考量實證證據及單位現存之發燒處置文化,以促進護理人員執行臨床決策。
以文找文
: Fever is a common symptom in critically ill patients and may induce complications and increase mortality in intensive care unit (ICU) patients. Therefore, explorations of effective fever management and related cultural factors of influence are important.Purpose: This study explores the cultural context of the ICU-nurse fever management decision-making process.Methods: This qualitative study was undertaken using a grounded theory approach. We developed a semi-structured questionnaire for in-depth interviews conducted with 11 participants from 7 ICUs in 3 hospitals. Constant comparison, theoretical sampling, literature review, member checking and an expert panel were used to ensure research trustworthiness.Results: The "ICU's unit culture of fever management" category that emerged from study data comprised the two subcategories of "stubbornly persist in traditional fever management" and "ICUs have no standardized fever management guidelines." Unit culture was found to affect the fever management process of ICU nurses significantly. This study discovered that a prevalent lack of a standardized fever protocol led participants to manage patient fever symptoms using traditional ICU practices that were not based on published evidence. Participants thus expressed feeling uncertain about their treatments, which could negatively impact upon the quality of care given to critically ill patients.Conclusions / Implications for practice: Findings indicate ICU cultural mores are an important factor influencing the fever management process for nurses. Thus, we suggest that nursing education and medical institutions consider empirical evidence and unit culture when developing fever management guidelines in order to facilitate effective nurse decision-making.
以文找文
期刊論文
1.
蕭淑銖、林洺秀、徐儆暉、秦唯珊、陳秋蓉、毛義方(20101200)。針扎與血液體液暴觸監控成效。勞工安全衛生研究季刊,18(4),430-441。
延伸查詢
2.
陳政惠、柯乃熒、李奉素、賴霈妤、李秀現、馬先芝(20110800)。使用真空採血器降低護理人員針扎及減少檢體溶血率之成效。感染控制雜誌,21(4),213-221。
延伸查詢
3.
Honda, M.、Chompikul, J.、Rattanapan, C.、Wood, G.、Klungboonkrong, S.(2011)。Sharps Injuries among Nurses in a Thai Regional Hospital: Prevalence and Risk Factors。International Journal of Occupational and Environmental Medicine,2(4),215-23。
4.
蕭淑銖、林洺秀、林曉玫、陳秋蓉(20050700)。臺灣醫療人員針扎與血液體液暴觸之監控。中華職業醫學雜誌,12(3),135-147。
延伸查詢
其他
1.
張綠娟、黃芳亮、劉美容、黃惠美、劉美芳、傅任云婕…林芸合(Chang, L. C., Huang, F. L., Liu, M. R., Fuh Rehn, Y. J., Liu, M. F., ... Lin, Y. H.)(2011)。國內針扎文獻的回顧與預防感染處理的建議(Literature review of needle-stick injuries in Taiwan and prophylaxis of post-exposure infection)。
延伸查詢
2.
J. M. Anderson(2008)。Needlestick injuries: Prevention and education key。
3.
A. Azadi, M. Anoosheh & A. Delpisheh(2011)。Frequency and barriers of underreported needlestick injuries amongst Iranian nurses, a questionnaire survey。
4.
G. Efstathiou, E. Papastavrou, V. Raftopoulos & A. Merkouris(2011)。Factors influencing nurses’ compliance with standard precautions in order to avoid occupational exposure to microorganisms: A focus group study。
5.
D. N. Fisman, A. D. Harris, M. Rubin, G. S. Sorock & M. A. Mittleman(2007)。Fatigue increases the risk of injury from sharp devices in medical trainees: Results from a case-crossover study。
6.
J. Ford & P. Phillips(2011)。An evaluation of sharp safety hypodermic needle devices。
7.
H. Habib, E. Ahmed Khan & A. Aziz(2011)。Prevalence and factors associated with needle stick injuries among registered nurses in sector tertiary care hospitals of Pakistan。
8.
M. N. Ilhan, E. Durukan, E. Aras, S. Turkcuoglu & R. Aygun(2006)。Long working hours increase the risk of sharp and needlestick injury in nurses: The need for new policy implication。
9.
M. Kakizaki, Ikeda N. Ali, M., B. Enkhtuya, M. Tsolmon, K. Shibuya, & C. Kuroiwa(2011)。Needlestick and sharps Injuries among health care workers at public tertiary hospitals in an urban community in mongolia。
10.
N. Kumer, P. Sharma & S. Jain(2011)。Needle stick injuries during fine needle aspiration procedure: Frequency, causes and knowledge, attitude and practices of cytopathologists。
11.
N. Mohammadi, A. Allami & R. M. Mohamadi(2011)。Percutaneous exposure incidents in nurses: Knowledge, practice and exposure to hepatitis B infection。
12.
J. Perry & J. Jagger(2005)。Cutting sharps risks in ICUs and CCUs。
13.
D. R. Smith, M. A. Choe, J. S. Jeong, M. Y. Jeon, Y. R. Chae & G. J. An(2006)。Epidemiology of needlestick and sharps injuries among professional Korean nurses。
14.
D. R. Smith, M. Mihashi, Y. Adachi, Y. Nakashima & T. Ishitake(2006)。Epidemiology of needlestick and sharps injuries among nurses in a Japanese teaching hospital。
15.
T. Snow(2008)。Employer policies on needlestick injuries are inadequate, says RCN。
16.
D. Sossai, V. Puro, L. Chiappatoli, G. Dagnino, B. Odone, A. Polimeri,... P. Scognamiglio(2010)。Using an intravenous catheter system to prevent needlestick injury。
17.
N. Tabak, A.M. Shiaabana & S. ShaSha(2006)。The health beliefs of hospital staff and the reporting of needlestick injury。
18.
K. Vaz, D. Mcgrowder, T. Crawford, R. L. Alexander-Lindo & R. Irving(2010)。Prevalence of injuries and reporting of accidents among health care workers at the University Hospital of the West Indies。
19.
K. Wada, R. Narai, Y. Sakata, T. Yoshikawa, M. Tsunoda, K. Tanaka, & Y. Aizawa(2007)。Occupational exposure to blood or fluids as result of needlestick injuries and other sharp device injuries among medical residents in Japan。
20.
A. Wilson(2004)。Cutting the cost of needlestick injury。
21.
A. Zafer, N. Aslam, N. Nasir, R. Merai & V. Mehraj(2008)。Knowledge, attitudes and practices of health care workers regarding needle stick injuries at a tertiary care hospital in Pakistan。
22.
M. A. Zaidi, S. A. Beshyah & R. Griffith(2010)。Needle stick injuries: An overview of the size of the problem, prevention & management。
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