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首页> 外文期刊>Journal of Hospital Administration >Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses
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Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

机译：人与机器：注册护士中手动血压测量技能的重要性

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Background: The manual recording of blood pressure is widely accepted to be more accurate than the recording of blood pressure using an automated device. Despite this many western healthcare systems have moved almost entirely to the automated recording of this important vital sign using oscillometric devices. Such devices may either fail to record the patient’s blood pressure in persistent hypotension or may give inaccurate readings in people with arteriosclerotic or atherosclerotic changes. This paper explores the importance of manual blood pressure recording, the availability of aneroid sphygmomanometers in UK hospitals and the maintenance of the skills of the workforce following initial nurse education.Methods: Using a survey of nursing students to explore what opportunities they have to practice manual blood pressures in the clinical setting, the paper explores the maintenance of skills following initial nurse education. The paper also describes the results of data collection, using unobtrusive methods, regarding the availability of aneroid sphygmomanometers in general and specialist hospital facilities in Northern England (UK). Data using both methods were collected in the spring of 2014.Results: The results suggest that despite most hospitals having some aneriod sphygmomanometers available (mean was 1 device for every 6 beds in acute, 1 device for every 3 beds in specialist hospitals and 1 device for every 12 beds in mental health) they were rarely used in clinical practice with only 35% of students reporting that they had undertaken a manual blood pressure in a clinical setting during the first year of their course. In addition, some hospitals had no aneroid devices and several others had no central record of location and regular calibration of such devices.Conclusions: The suggested infrequent use of aneroid devices raises a concern that nurses skills in manual blood pressure recording may be subject to decay over time. Given the importance of these skills in patient safety and, in ensuring accurate and effective care, failure to ensure adequate equipment and opportunities for skill maintenance could result in practitioners and hospitals being open to negligence claims
机译：背景：手动记录血压比使用自动设备记录血压更准确。尽管如此，许多西方医疗保健系统已经几乎完全转向使用示波法设备自动记录这一重要生命体征。这样的设备可能无法在持续性低血压中记录患者的血压，或者在患有动脉硬化或动脉粥样硬化变化的人中给出的读数可能不准确。本文探讨了手动血压记录的重要性，英国医院中无氧血压计的可用性以及在最初的护士教育后维持劳动力技能的方法。方法：通过对护理学生的调查来探索他们有哪些机会练习手册血压在临床环境中，本文探讨了最初的护士教育后技能的维持情况。本文还介绍了使用不显眼的方法收集数据的结果，涉及英格兰北部（英国）的普通和专科医院设施中无液血压计的可用性。使用这两种方法的数据均于2014年春季收集。结果：尽管大多数医院都配备了一些血压计（平均每6床急诊中有1台设备，专科医院每3床中有1台设备，还有1台设备中有1台设备）在心理健康方面，每12张床位就很少将它们用于临床实践，只有35％的学生报告说，他们在课程第一年在临床环境中进行过手动血压测量。此外，一些医院没有假性器械，而其他一些医院也没有中央记录，并且没有定期校准此类器械。结论：建议的不经常使用类假性器械引起了人们的担忧，即护士在手动血压记录方面的技能可能会下降随着时间的推移。鉴于这些技能对患者安全以及确保准确有效的护理的重要性，如果未能确保有足够的设备和技能维护机会，可能会导致从业者和医院容易受到疏忽索赔的影响

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