Knowledge of Nursing Journal
دانش پرستاری
Knowledge of Nursing
Medical Sciences
http://knjournal.ir
1
admin
-
2981-152X
10.61882/knjournal
en
jalali
1402
8
1
gregorian
2023
11
1
1
3
online
1
fulltext
en
تاثیر چک لیست الکترونیکی برکیفیت مراقبت از بیمار از اتاق عمل به بخش مراقبت های ویژه
Effects of an Electronic Checklist on the Quality of Patient Care Handoff Process from the Operating Room to Intensive Care Unit
تخصصي
Special
پژوهشي
Research
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">زمینه و هدف:</span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> انتقال مراقبت یکی از فرآیندهای اصلی در ارائه دهندگان مراقبت های بهداشتی است. چک لیست های کاغذی معمولاً برای انتقال از اتاق عمل به بخش مراقبت های ویژه استفاده می شود. با این حال، چک لیست های کاغذی تبادل دقیق و کامل اطلاعات در حین انتقال را تضمین نمی کند. مطالعه حاضر با هدف بررسی اثربخشی ابزار انتقال الکترونیکی بر بهبود کیفیت انتقال مراقبت از</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">OR</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">به</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">ICU</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">انجام شد.</span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">مواد و روشها:</span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> جامعه پژوهشی این مطالعه مداخلهای نیمه تجربی شامل کلیه موقعیتهای انتقال بیمار از</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">OR</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">به</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">ICU</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">بیمارستان گلستان اهواز بود. موقعیت های انتقال به طور تصادفی در دو گروه کنترل و مداخله توزیع شد. شرکت کنندگان چک لیست های مربوط به 84 موقعیت انتقال مراقبت از بیمار از اتاق عمل به</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">ICU</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">را تکمیل کردند که شامل 42 موقعیت انتقال با استفاده از چک لیست الکترونیکی به عنوان مداخله و 42 موقعیت انتقال با استفاده از چک لیست های کاغذی معمولی به عنوان گروه کنترل بود. کیفیت مراقبت با استفاده از مقیاس ارزیابی انتقال (</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">HES</span></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">) مورد ارزیابی قرار گرفت. تجزیه و تحلیل داده ها با استفاده از نرم افزار</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">SPSS</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">نسخه 22 انجام شد.</span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته ها:</span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> امتیاز</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">HES</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در گروه چک لیست کاغذی 66/3</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">±</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">38/35 و در گروه چک لیست الکترونیکی 61/3</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">±</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">10/38 بود. نمرات</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">Handoff</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">در دو بعد کیفیت اطلاعات و کارایی در گروه با استفاده از چک لیست الکترونیکی به طور معنی داری بیشتر از گروه چک لیست کاغذی بود (004/0=</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">P</span></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">).</span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجهگیری:</span></span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"> بهنظر میرسد که پیادهسازی و پایبندی ابزار انتقال الکترونیکی توسعهیافته در این مطالعه، کیفیت فرآیند انتقال بیمار از</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">OR</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">به</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="color:black">ICU</span></span></span></span> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black">را بهطور چشمگیری افزایش می دهد.</span></span></span></span><br>
<br>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Background and Aim</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: Handoff is one of the main processes of health care providers. Paper checklist is commonly used to handoff care from operating room (OR) to intensive care unit (ICU). However, this tool do not guarantee accurate and complete exchange of information during handoff. The present study aimed to investigate the effects of an electronic handoff checklist on improving the quality of care transfer from the OR to ICU.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Materials and methods</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: The sample of this quasi-experimental study included all situations of patient handoffs from the OR to ICU at Golestan Hospital in Ahvaz city. Accordingly, 84 handoff situations were randomly divided into 2 equal control and intervention groups and participants completed paper or electronic checklists respectively. Quality of care handoff was assessed with Handover Evaluation Scale (HES).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> <b>Results</b>:</span></span></span> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Mean HES scores in paper-checklist and electronic-checklist groups were 35.38±3.66 and 38.10±3.61 respectively. Handoff scores in two dimensions of <a name="_Hlk138503196">quality of information and efficiency </a>in the electronic-checklist group were significantly higher than another group (P= 0.004).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: It seems electronic handoff checklist can increase the quality of patient care handoff from OR to ICU.</span></span></span></span></span></span></span><br>
تحویل بیمار, چک لیست های کاغذی, تحویل الکترونیکی, اتاق عمل, بخش مراقبت های ویژه
Patient Handoff, Checklist, Operating Room, Intensive Care Unit.
188
200
http://knjournal.ir/browse.php?a_code=A-10-74-2&slc_lang=en&sid=1
Raha
Latifinasab
رها
لطفی نسب
rahalatifi1370@yahoo.com
1003194753284600495
0009-0004-3536-5402
No
Critical Care Nursing Department, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Parisa
Sheini-Jaberi
پریسا
شینی جابری
psheinijaberi@yahoo.com
1003194753284600496
1003194753284600496
No
Medical Surgical Nursing Department, Nursing & midwifery school, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Marziyeh
Asadizaker
مرضیه
اسدی ذاکر
asadizaker-m@ajums.ac.ir
1003194753284600497
1003194753284600497
Yes
Medical Surgical Nursing Department, Nursing & midwifery school, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Asaad
Sharhani
اسعد
شرهانی
asaadsharhani3@gmail.com
1003194753284600498
1003194753284600498
No
Department of Biostatistics and Epidemiology, Health school, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Mohsen
Savaie
محسن
سوائی
drsavaie@gmail.com
1003194753284600499
1003194753284600499
No
Department of Anesthesiology and Intensive Care, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran