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The Development and Implementation of Hospital-Based Clinical Guidelines to Enhance Nursing Staff Efficacy in Glycemic Management at a Large Psychiatric Teaching Hospital

机译:在大型精神病学教学医院中制定并实施以医院为基础的临床指南,以提高护理人员在血糖管理中的药效

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摘要

Background: This quality improvement project was conducted at the Colorado Mental Health Institute at Pueblo (CMHIP) in order to improve glycemic management. In psychiatric inpatient settings, proper glycemic management is inadequate which increases metabolic risk and poor patient outcomes. One way to address this problem is by using practice guidelines and education, which enhances nurses’ efficacy.Purpose: The purpose of this project was to develop and implement a glycemic management guideline to enhance clinical nursing staff knowledge and confidence.Method: Fifty-five clinical nursing staff attended an in-service and were asked to fill out a survey before and after the in-service to describe their knowledge and confidence in caring for psychiatric patients with hypo/hyperglycemia. Descriptive statistics were used to describe clinical nursing staffu27s knowledge and confidence. Qualitative data were analyzed using content analysis.Results: 92.7% (n = 51) completed a pre and post in-service training questionnaire. Majority were registered nurses (n = 27; 75.5%) and one third (n = 12; 24.0%) had a baccalaureate degree in nursing (BSN). Many nurses agreed that having a standard glycemic management guideline was relevant in providing quality patient care to improve outcomes (M = 44.5; 90.8%). An educational session involving nursing staff was effective in improving staff confidence and knowledge and there was a statistically significant difference before and after training (pu3c0.05).Conclusion: Clinical guidelines are essential in providing quality care to improve outcomes. Nursing staff educational in-service increases knowledge and confidence, which improves outcomes. In Summary, this Scholarly Project adds to the literature supporting the need for robust use of glycemic management guidelines in psychiatric inpatient settings.
机译:背景:这项质量改善项目是在普韦布洛的科罗拉多州精神健康研究所(CMHIP)进行的,目的是改善血糖管理。在精神科住院患者中,适当的血糖管理不充分,这会增加代谢风险和患者预后不良。解决此问题的一种方法是使用实​​践指南和教育,以提高护士的工作效率。目的:该项目的目的是制定和实施一项血糖管理指南,以增强临床护理人员的知识和信心。方法:55临床护理人员参加了服务,并被要求在服务之前和之后填写一份调查表,以描述他们在照顾低血糖/高血糖症精神病患者方面的知识和信心。描述性统计学用于描述临床护理人员的知识和信心。使用内容分析法分析定性数据。结果:92.7%(n = 51)完成了在职培训前后的培训问卷。多数为注册护士(n = 27; 75.5%),三分之一(n = 12; 24.0%)的护理学士学位(BSN)。许多护士同意,制定标准的血糖管理指南对于提供优质的患者护理以改善结局具有重要意义(M = 44.5; 90.8%)。护理人员参加的一次教育会议有效地提高了员工的信心和知识,培训前后差异有统计学意义(p u3c0.05)。结论:临床指南对于提供优质护理以改善结局至关重要。护理人员在职教育增加了知识和信心,从而改善了结果。总而言之,该“学术项目”增加了文献,支持在精神科住院患者中严格使用血糖管理指南的需求。

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    Bah Cherno;

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