定性研究
病危
医学
主题分析
指南
医疗保健
护理部
焦点小组
家庭医学
重症监护医学
病理
社会科学
社会学
业务
营销
经济
经济增长
作者
Miao Huang,Li Yang,Chuanlai Zhang,Xiuni Gan
出处
期刊:Heliyon
[Elsevier]
日期:2024-02-01
卷期号:10 (3): e24545-e24545
标识
DOI:10.1016/j.heliyon.2024.e24545
摘要
Aims and objectiveTo explain the components and elements of glucose management in critically ill adult patients from the healthcare providers’ experiences.BackgroundCritically ill adults are highly susceptible to stress-induced hyperglycaemia due to glucose metabolic disorders. Healthcare workers play a key role in the glycaemic management of critically ill patients. However, there is a lack of qualitative studies on the content and elements of glycaemic management and healthcare workers' perceptions about glycaemic management in China.DesignQualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.MethodsIndividual semi-structured interviews were conducted from January to April 2022. Fifteen physicians and nurses were recruited from ten hospitals in mainland China. Data were analysed using inductive thematic analysis.ResultsGlucose management in critically ill adult patients from their experiences included two parts: the inner ring (practice behaviours) and the external space (methods and drivers). The practice behaviours of glucose management include five elements, while the methods and drivers of glucose management focus on three elements. The content covered under each element was identified.ConclusionThis study developed a glycaemic management model for critically ill adult patients, clarified its elements based on the perceptions of healthcare providers and elaborated on the methods and drivers covered under each element to provide a reference for physicians and nurses to develop a comprehensive glycaemic management guideline for critically ill adult patients.Relevance to clinical practiceOur study proposed a glucose management practice model for critically ill adult patients, and the elements and components included in this model can provide a reference for physicians and nurses when performing glucose management in critically ill patients.
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