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Evaluation of a Difficult Urinary Catheter Team in an Academic Medical Center

机译：在一个学术医学中心评估一个困难的导尿管团队

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摘要

The placement of an indwelling urinary catheter (IUC) is a commonly performed clinical procedure which may become challenging for the clinician and painful for the patient. In response to urologic complications attributed to repeated failed IUC insertion attempts by nurses, a difficult urinary catheter (DUC) team program was launched in October 2012. The purpose of the doctoral project was to conduct a quality improvement evaluation of the effectiveness of the DUC team program using retrospective data from May 1, 2013 through May 31, 2017. Benner's novice to expert model was chosen as the theoretical framework to guide the additional training, critical thinking, problem-solving, and skill acquisition necessary for team member inclusion. The practice-focused question for the project answered whether DUC team nurses, through advanced training and demonstrated procedural competence, have been effective with DUC insertions. Sources of evidence included primary and secondary articles in peer-reviewed journals, as well as clinical evidence collected from internal sources. During the project time-line, 463 DUC team consultations were recorded with an insertion success rate of 89.6%. Based on the DUC team concept, additional didactic content and simulation training may be developed for other cognitive and skill-based clinical procedures. The implications for positive social change include improved patient safety and comfort, as well as cost savings for the organization and overall healthcare system.
机译：留置导尿管（IUC）的放置是一种常见的临床操作，可能对临床医生造成挑战，对患者造成痛苦。为了应对由于护士反复IUC插入失败而导致的泌尿外科并发症，2012年10月启动了一项困难的导尿管（DUC）团队计划。该博士项目的目的是对DUC团队的有效性进行质量改进评估该计划使用2013年5月1日至2017年5月31日期间的回顾性数据。选择本纳的专家级新手作为理论框架，以指导团队成员参与所需的额外培训，批判性思维，问题解决和技能习得。针对该项目的针对实践的问题回答了DUC团队护士是否通过高级培训和证明的程序能力对插入DUC是否有效。证据来源包括经过同行评审的期刊中的第一篇和第二篇文章，以及从内部来源收集的临床证据。在项目时间表中，记录了463个DUC团队咨询，插入成功率为89.6％。基于DUC团队的概念，可以为其他基于认知和技能的临床程序开发其他教学内容和模拟培训。积极的社会变革的意义包括改善患者的安全性和舒适度，以及为组织和整个医疗系统节省成本。

著录项

  • 作者

    Price, David C.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.;Health care management.
  • 学位 D.N.P.
  • 年度 2018
  • 页码 79 p.
  • 总页数 79
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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