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Intrahospital transport of critically ill patients: A cross‐sectional survey of Nurses' attitudes and experiences in adult intensive care units

工作量 医学 重症监护室 护理部 病危 重症监护 患者安全 单变量分析 横断面研究 危重护理 家庭医学 医疗保健 多元分析 重症监护医学 经济 病理 内科学 操作系统 经济增长 计算机科学
作者
Yi Song,Qian Zhao,Mei Yang,Xiaohua Xie,Min Gong,Hui Chen
出处
期刊:Journal of Advanced Nursing [Wiley]
卷期号:78 (9): 2775-2784 被引量:11
标识
DOI:10.1111/jan.15179
摘要

To describe adult intensive care nurses' experiences and attitudes towards intrahospital transport (IHT) of critically ill patients and to assess the relationship between nurses' characteristics, attitudes and experiences.Cross-sectional survey.Factor analysis identified factors within the attitudinal and experience domains. Univariate analysis was performed to demonstrate the relationship between attitudinal and experience factors and demographic and professional characteristics of the participants. Multiple regression equations were applied to determine associations between nurses' experiences and attitudes. The study took place from July to August 2019.A total of 480 nurses from 12 adult intensive care units in China participated, with a response rate of 65%. Most respondents had a baccalaureate nursing degree (75%). The majority (80%) had participated in IHT of critically ill more than five times in the previous 12 months and 90% agreed that checklists led to an improvement in patient safety during transport. However, 75% of respondents expressed that transport increased the workload of the nurses who accompany patients off unit and those who remained in the intensive care unit (66%). Variables that were associated with a favourable perception of transport competency and checklists/tool use were nurses' prior transport experiences and knowledge/training.Nurses perceived IHT was a sourse of stress and increased workload. Checklists and training were beneficial for patient safety during IHT.The findings point out a clear need for ICU nurse training, standardised policy/procedure and customisation of existing intrahospital transfer checklists according to hospital procedures and local circumstances. New research is needed to evaluate the impact of novel IHT interventions on patient safety and nurses' stress.
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