Learning from the severe acute respiratory syndrome (SARS) epidemic
Learning from the severe acute respiratory syndrome (SARS) epidemic
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DOI：
10.1111/j.1365-2702.2007.01997.x
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发表时间：
2008-04-01
影响因子：
4.2
通讯作者：
Wong, Thomas Ks
中科院分区：
文献类型：
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作者：
Chan, Engle Angela;Chung, Joanne Wy;Wong, Thomas Ks
本研究采用传统与模块化设计两种护理模式，比较内科病房与外科病房的护理活动、手卫生、时间效率及护患满意度，并从SARS疫情中汲取教训，指出优质护理实践的重要性，即最大限度地减少交叉感染，同时最大限度地以病人为中心的护理。因此，本研究采模组化护理模式，分为介入前与介入后两阶段。评估模块化护理实践的数据收集工具包括工作抽样观察清单，重点小组访谈护士，问卷调查护士的感知能力和护理属性，病人满意度问卷，和手卫生审计。在两个阶段之间举行了一系列教育会议。采用定量和定性分析的数据triangular.Modular护理实践，侧重于护理的连续性，导致直接护理活动的性质和改善病人/家庭教育的频率的变化。此外，护士洗手频率普遍增加。然而，当护士感到时间压力，手卫生依从性的失误被发现。由于人力资源和效率低下的问题，一些护士在研究病房不接受地理隔离的感染控制。护士的感染控制实践能力与其感知的关怀属性呈正相关。在复杂的临床情况下，检查护理实践模式的意义不仅在于模式的效果，而且在其他操作结果。
This study uses two models of nursing practice, conventional and modular design, to compare nursing activities, hand hygiene, time efficiency and nurse-patient satisfaction in medical and surgical wards.Learning from the SARS epidemic pointed to the importance of quality nursing practice considerations that minimize cross-transmission of infection while maximizing patient-focused care. Hence, a modular nursing model was adopted.This study comprised pre- and postintervention phases. Data collection tools to evaluate modular nursing practice included a work sampling observation checklist, focused group interviews with nurses, questionnaires addressing nurses' perceived competence and caring attributes, a patient satisfaction questionnaire, and a hand hygiene audit. A series of education sessions were conducted between the two phases. Quantitative and qualitative analyses were used for data triangulation.Modular nursing practice, focusing on continuity of care, led to changes in the nature of direct care activities and improvement in patient/family education frequency. Also, a general increase in nurses' hand washing frequency was noted. However, when nurses perceived time pressure, a lapse in hand hygiene compliance was found. Because of human resource and inefficiency issues, some nurses in the studied wards did not embrace geographical separation for infection control. Positive correlations were found for nurses' perceived infection control practice competence and their perceived caring attributes.In examining nursing practice models within complex clinical situations, the significance lies not only in the model's effects but also in other operational outcomes.