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目的:了解护理人员对护理风险[压疮、跌倒、非计划拔管、静脉血栓栓塞(VTE)、疼痛]评估的认知、意愿,参考其对住院患者进行五项风险评估的真实体验,为有效防范风险发生提供理论依据。方法:通过质性研究方法,抽取泰安市某二甲医院的13名护士进行深入访谈,对访谈资料进行分析,提炼主题。结果:整理主题为:临床护理人员对使用五项风险评估单的目的和意义认识不足;缺乏针对性预防措施,未体现出评估的真正价值;评估内容繁杂,增加护士工作量;加强信息化建设,减少纸质评估。结论:加强培训,强化临床护士对风险评估的认知;完善相关风险防范措施,保证护理安全;简化工作流程,加强信息化建设。
OBJECTIVES: To understand the cognition and willingness of nurses in assessing nursing risks (pressure ulcers, falls, unscheduled extubation, venous thromboembolism (VTE), pain) and to compare their real experience with five risk assessments of hospitalized patients Provide a theoretical basis for effectively preventing the occurrence of the risk. Methods: Thirteen nurses from a second-rate hospital in Tai’an were selected for in-depth interviews with the qualitative research methods, and the interview data were analyzed to refine the topic. Results: The theme of the review was: lack of understanding of the purpose and significance of using the five risk assessment forms by clinical nurses; lack of targeted preventive measures, failure to reflect the true value of the assessment; complicated assessment content and increased nurses’ workload; and strengthening informatization construction , Reduce paper assessment. Conclusion: To strengthen the training, strengthen the clinical nurses’ cognition of risk assessment, improve the relevant risk prevention measures, ensure the safety of nursing, simplify the work flow and strengthen the information construction.