转运团队对高危新生儿院际转运突发事件及危险因素的主观认识

doi:10.3761/j.issn.1672-9234.2022.09.012

Abstract

Abstract:

Objective To understand the transfer team's perspectives on emergency and its influencing factors during inter-hospital transfer of high-risk newborns. Methods The semi-structured interviews with 22 team members from 3 provincial neonatal treatment centers were conducted. NVivo 11.0 software was used to analyze the data. Results Two themes and 11 corresponding sub-themes were developed：emergencies during inter-hospital transfer （mechanical failure,inadequate items preparation,inconsistency between the prognosis and the actual condition of the newborns,serious condition changes,and traffic accidents）;risk factors of inter-hospital transfer （external factors,comprehensive quality,patient factors,instruments and equipment,manpower deployment,and occupational protection）. Conclusion There are many emergencies and complex types of risks in inter-hospital transfer of high-risk neonates,and several factors need to be considered to establish a sound risk prevention strategy to ensure the safety of transfer.

Key words: Infant,Newborn, Transportation of Patients, Safety Management, Qualitative Research

Jiang Lin,Feng Haixia,Li Fang. Transfer team's perspectives on emergency and its influencing factors during inter-hospital transfer of high-risk newborns[J].Chinese Journal of Nursing Education, 2022, 19(9): 831-836.

Figures/Tables 2

References 18

[1]	李磊, 王自珍, 孔祥永, 等. 超早产儿安全转运改进策略效果分析[J]. 护理学报, 2017, 24(1):27-30.
	Li L, Wang ZZ, Kong XY, et al. Effect of modified strategies of safe transfer on extremely preterm[J]. J Nurs(China), 2017, 24(1):27-30.
[2]	李敬衡, 王东晓, 钟柳明. 922例重症院前急救患儿流行病学分析及转运探讨[J]. 中国实用医药, 2017, 12(6):177-179.
	Li JH, Wang DX, Zhong LM. Epidemiological analysis and transfer discussion on 922 cases of severely ill children with pre-hospital emergency[J]. China Pract Med, 2017, 12(6):177-179.
[3]	李婉莹, 张义, 杜颖, 等. 危重新生儿长三角一体化转运的实践与思考[J]. 临床儿科杂志, 2021, 39(1):31-33.
	Li WY, Zhang Y, Du Y, et al. Practice and reflection on the integrated transport of critically ill newborns in the Yangtze River Delta[J]. J Clin Pediatr, 2021, 39(1):31-33.
[4]	Goswami I, Redpath S, Langlois RG, et al. Whole-body vibration in neonatal transport:a review of current knowledge and future research challenges[J]. Early Hum Dev, 2020, 146:105051. doi: 10.1016/j.earlhumdev.2020.105051
[5]	李书津, 张彦华, 李文丽, 等. 河南省新生儿重症救护网络2016至2017年转运危重新生儿死亡分析[J]. 中国小儿急救医学, 2020,(9):703-706.
	Li SJ, Zhang YH, Li WL, et al. Analysis of death of critically ill newborns transported by Henan Provincial neonatal critical care network in 2016-2017[J]. Chin Pediatr Emerg Med, 2020(9):703-706.
[6]	Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service[J]. Pediatr Crit Care Med, 2008, 9(3):289-293. doi: 10.1097/PCC.0b013e318172dbfd
[7]	张岚, 乐琼, 罗黎, 等. 新生儿院际转运管理的最佳证据总结[J]. 护理学报, 2021, 28(11):21-26.
	Zhang L, Le Q, Luo L, et al. Best evidence summary for manage-ment of inter-hospital transport for newborns[J]. J Nurs (China), 2021, 28(11):21-26.
[8]	唐明星. 危重新生儿转运危险因素分析及应对策略[J]. 安徽卫生职业技术学院学报, 2020, 19(1):122-123.
[9]	李峥, 刘宇. 护理学研究方法[M]. 2版. 北京: 人民卫生出版社, 2018:264-270.
[10]	Orr RA, Felmet KA, Han Y, et al. Pediatric specialized transport teams are associated with improved outcomes[J]. Pedia-trics, 2009, 124(1):40-48.
[11]	中国医师协会新生儿科医师分会. 新生儿转运工作指南(2017版)[J]. 中华实用儿科临床杂志, 2017, 32(20):1543-1546.
[12]	Ramnarayan P, Thiru K, Parslow RC, et al. Effect of specialist retrieval teams on outcomes in children admitted to paediatric intensive care units in England and Wales:a retrospective cohort study[J]. Lancet, 2010, 376(9742):698-704. doi: 10.1016/S0140-6736(10)61113-0
[13]	李清华. 急诊呼吸道病原体职业暴露的应急预案[J]. 中华护理杂志, 2017, 52(S1):29-31.
	Li QH. Emergency plan for occupational exposure of respiratory pathogens in emergency department[J]. Chin J Nurs, 2017, 52(S1):29-31.
[14]	van den Berg J, Olsson L, Svensson A, et al. Adverse events during air and ground neonatal transport:13 years' experience from a neonatal transport team in Northern Sweden[J]. J Matern Fetal Neonatal Med, 2015, 28(10):1231-1237. doi: 10.3109/14767058.2014.949664
[15]	Goldsmit G, Rabasa C, Rodríguez S, et al. Risk factors associated to clinical deterioration during the transport of sick newborn infants[J]. Arch Argent Pediatr, 2012,110(4):304-309. doi: 10.1590/S0325-00752012000400006 pmid: 22859323
[16]	Foronda C, VanGraafeiland B, Quon R, et al. Handover and transport of critically ill children:an integrative review[J]. Int J Nurs Stud, 2016, 62:207-225. doi: 10.1016/j.ijnurstu.2016.07.020
[17]	张漪, 夏世文, 陈样, 等. 2008年至2011年不良结局的转运新生儿病例分析[J]. 中国小儿急救医学, 2014(1):6-9.
	Zhang Y, Xia SW, Chen Y, et al. Analysis of the newborns who transferred from other hospitals and occurrence of adverse outcomes from 2008 to 2011[J]. Chin Pediatr Emerg Med, 2014(1):6-9.
[18]	Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neo-natal interfacility transport:results from a national consensus conference[J]. Pediatrics, 2013, 132(2):359-366. doi: 10.1542/peds.2013-0529

Transfer team's perspectives on emergency and its influencing factors during inter-hospital transfer of high-risk newborns

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 2

References 18

Related Articles 15

Metrics

Comments

Recommended 10

[1]	LIU Ting, YANG Fuguo, YANG Li, YANG Xiuling, HAN Jing, WANG Aimin. A descriptive qualitative study on the experience of using artificial intelligence generated content tools among nursing postgraduate students [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1046-1051.
[2]	ZHAO Wenjuan, ZHANG Xiaoju, LAI Xiaobin, SHEN Zhiyun, ZHANG Yuxia. The lived experience of specialty nurses with full-time posts during their role transitions：a qualitative study [J]. Chinese Journal of Nursing Education, 2024, 21(7): 788-793.
[3]	LI Xiaohua, ZHU Hong, YANG Dan, HAO Yufang, LI Xuejing. The influence of role modeling on nursing students’ professional identity：a meta-synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(7): 841-848.
[4]	HAO Linbo, ZHAO Qinghua, HUANG Huanhuan, CHEN Lijuan. A qualitative study on medication experience of older patients with polypharmacy during hospital-family transition period [J]. Chinese Journal of Nursing Education, 2024, 21(7): 866-872.
[5]	ZHU Xiaoling, CHEN Shaohua, LIN Binbin, WANG Xiaoyan, XU Guiru, XU Qin, QIU Pingping, LIN Xiaoyun, SONG Jihong. The learning experience of undergraduates participating in the Midwifery Comprehensive Experiment course based on situational simulation teaching [J]. Chinese Journal of Nursing Education, 2024, 21(5): 562-568.
[6]	GUO Dong, FU Xiurong, LI Heng. Analysis of risk factors for nursing interruption events during the surgical counts [J]. Chinese Journal of Nursing Education, 2024, 21(5): 574-579.
[7]	WANG Yuqing, SUN Xuhan, ZHANG Yuxi. The experience of nursing staffs in narrative nursing：a meta-synthesis of qualitative research [J]. Chinese Journal of Nursing Education, 2024, 21(4): 466-472.
[8]	ZHOU Wenlu, SHI Wen, WANG Junjie, WANG Rui. High-fidelity simulation teaching experience of undergraduate nursing students：a meta synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(3): 289-294.
[9]	WANG Rui, SUI Hongping, LI Tingting, JIANG Tongtong, XIA Yunlong, SHI Tieying. The stigma experience of lung cancer patients：a meta-synthesis of qualitative studies [J]. Chinese Journal of Nursing Education, 2024, 21(2): 231-236.
[10]	WANG Meng, ZHANG Xiaoqing, LI Jiaxin, WAN Yinglu. Meta synthesis of qualitative studies on cancer risk perception in first-degree relatives of breast cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(1): 104-109.
[11]	HOU Kunhua, BAI Wenhui, LI Qianqian, TIAN Yajie, WANG Meijie, CHANG Shuying, MA Lingcao, LIU Weihua. The experiences of nursing students after patient death in clinical practice：a meta-synthesis of qualitative research studies [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1077-1083.
[12]	SUN Yueping, ZHOU Rong, MENG Liping, GUO Yaqiong, ZHANG Caihong, GUO Honghua. Factors that promote and hinder clinical practice of structured education in gestational diabetes mellitus [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1100-1106.
[13]	ZHAO Chunmei, GU Haiyan, FAN Benfang. Application of loose-leaf teaching materials in nursing safety training for newly graduated nurses [J]. Chinese Journal of Nursing Education, 2023, 20(8): 909-913.
[14]	QIAN Zhan, LIN Jinmin, YANG Xiaoting, ZHU Hui. Experience of children and adolescents with cancer returning to school：a qualitative Meta-synthesis [J]. Chinese Journal of Nursing Education, 2023, 20(8): 974-980.
[15]	WU Huiling, LI Weitao, WU Liping. Family support content of women with fetal abnormalities during induction of labor：a qualitative study [J]. Chinese Journal of Nursing Education, 2023, 20(6): 716-719.