重症专科护士实施床旁即时肺部超声影响因素的质性研究

doi:10.3761/j.issn.2096-7446.2024.05.001

摘要/Abstract

摘要： 目的探讨重症专科护士在临床工作中常态化实施床旁即时肺部超声所遇到的促进因素及阻碍因素。方法基于常态化过程理论框架,应用描述性质性研究方法,采用目的抽样,于2023年10月—12月邀请10名重症超声研究组的护师、医师进行半结构式访谈,运用内容分析法对访谈资料进行分析和主题提炼。结果共提炼出4个维度10个主题。促进因素包括：内在认同、组织支持、个人职业角色发展、便携式超声设备发展、技术易掌握、促进精准护理。阻碍因素包括：缺乏工作规范、缺乏资质认定、资源配置不足、缺乏新技术临床经济学评价。结论床旁即时肺部超声的实施有助于提升重症护理的时效性和准确性,超声技术与护理学科交叉融合为新兴护理模式。

关键词: 床旁即时肺部超声, 常态化过程理论, 重症护理, 实施科学, 质性研究

Abstract: Objective To explore the facilitators and barriers encountered by intensive care nurses in the implementation of point-of-care lung ultrasound（POC-LUS）. Methods Based on the theoretical framework of normalization process,the descriptive research method was applied,and purposive sampling was used. 10 nurses and physicians from the intensive ultrasound research group were invited for semi-structured interviews from October to December 2023. Content analysis method was performed for data analysis and theme extraction. Results Ten themes related to four categories were identified. Facilitators to intervention included intrinsic identification of implementers,organizational support,development of individual professional roles,accessibility of portable ultrasound equipment,ease of technical mastery,and promotion of precision nursing. Barriers included lack of procedural standards,lack of qualifications,insufficient resource allocation,and lack of economic evaluation of new technologies. Conclusion The implementation of POC-LUS improves the timeliness and accuracy of intensive care. The cross-integration of ultrasound technology and nursing disciplines has become an emerging nursing model.

Key words: Point-of-Care Lung Ultrasound, Normalization Process Theory, Intensive Care, Implementation Science, Qualitative Study

岳雯静, 王子涵, 江莹, 林佳艺, 王琴潞, 王菲, 季诗明, 康晓凤. 重症专科护士实施床旁即时肺部超声影响因素的质性研究[J]. 中华急危重症护理杂志, 2024, 5(5): 389-394.

YUE Wenjing, WANG Zihan, JIANG Ying, LIN Jiayi, WANG Qinlu, WANG Fei, JI Shiming, KANG Xiaofeng. Influencing factors of point-of-care lung ultrasound conducted by intensive care nurses：A qualitative study[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(5): 389-394.

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