| 王春灵,凌华兴,徐建鸣,杨丽君,潘渊,朱丽,沈燕,陈瑜,胡雁.手术室锐器伤预防的最佳证据应用[J].上海护理,2018,18(8): |
| 手术室锐器伤预防的最佳证据应用 |
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| DOI： |
| 中文关键词: 手术室 医护人员 锐器伤 预防 循证实践 |
| 英文关键词:Operating room Medical staff Sharp injury Prevention Evidence-based practice |
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| 中文摘要: |
| 目的：评估目前与手术室锐器伤预防相关的循证实践，将手术室锐器伤预防的最佳证据应用到护理实践中，为降低手术室医护人员锐器伤的发生率，提高医护人员对预防锐器伤的认知率、执行率。 方法：2016年4月至2016年10月，在复旦大学附属中山医院外科手术室和心脏介入中心完成了2轮质量审查。应用澳大利亚乔安娜?布里格斯研究中心（Joanna Briggs Institute，JBI） 根据最佳证据制定的7条审查指标，进行手术室医护人员相关锐器伤预防的基线调查，制定相应的循证实践方案，并运用JBI临床证据实践系统，将现有的最佳证据整合到护理实践中，再实施干预后的审查。 结果：根据基线审查结果显示：3条基线指标的执行率为10-15%，将最佳证据引入到护理实践后，第2轮审查中，其中2条审查指标均达到60-70%，1条审查指标执行率由10%上升到20%；护士的标准预防认知以及预防锐器伤的实践大大增强。 结论：本次循证护理实践项目改进了与手术室锐器伤预防相关的护理实践，但仍需整合资源，不断完善，以提升职业防护、降低医院感染。 |
| 英文摘要: |
| Objective: To evaluate the evidence-based practice associated with the prevention of sharp injury in the operating room, we apply the best evidence of sharp injury in the operating room to nursing practice in order to reduce the incidence of sharp injuries in the operating room and improve the awareness rate and the execution rate of the medical staff. Methods: We completed a two-round quality review in the Zhongshan Hospital of Fudan University at Operating Room and Cardiac Intervention Center from April 2016 to October 2016.We investigated the operating room staff related to sharp injury prevention baseline situation and formulate the corresponding evidence-based practice program according to seven review of indicators based on the best evidence from the Joanna Briggs Institute (JBI), Australia. Then we apply JBI Clinical Evidence Practice System to integrate the best available evidence into the practice of care and implement post-intervention reviews. Results：Based on the baseline review：the implementation rate of the three baseline indicators was 10-15% originally, two of which review targets were 60-70%, one review of the implementation rated of indicators increased from 10% to 20% after introducing the best evidence into nursing practice. Nurses'' standard precautionary awareness and the practice of preventing sharps injuries are enhanced greatly. Conclusions:This evidence-based nursing practice program has improved care practices associated with the prevention of sharp surgical injury in the operating room, but we still need integrate resources and constantly improve to enhance occupational protection and reduce nosocomial infection. |
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