护士职业暴露预防与管理的最佳证据总结

doi:10.16460/j.issn1008-9969.2023.07.053

摘要/Abstract

摘要： 目的整合国内外护士职业暴露预防与管理的最佳证据,为临床护士职业防护和管理提供参考依据。方法采用 PIPOST 工具确立循证问题,按照“6 S”证据模型系统检索护士职业暴露预防与管理的所有证据,包括指南、专家共识、临床决策、系统评价、综述和横断面研究。由3名研究者对纳入文献独立评价,提取符合标准的文献进行证据归纳。检索时限从建库至2022年6月15日。结果最终纳入16篇文献,从风险管理、针刺伤防护、呼吸道暴露防护、抗肿瘤药物防护、妊娠期防护、新型冠状病毒肺炎防护6个维度生成24条最佳证据。结论本研究总结了护士职业暴露预防与管理的最佳证据,旨在加强对职业暴露的监督与管理,降低护士职业暴露发生率。

关键词: 护士, 职业暴露, 预防, 管理, 循证护理

Abstract: Objective To retrieve and integrate the best evidence for the prevention and management of occupational exposure of nurses at home and abroad, and provide reference for the protection and management of occupational exposure of clinical nurses. Methods The PIPOST tool was used to identify evidence-based questions, and all evidence on occupational exposure prevention and management of nurses was systematically retrieved according to the "6S" evidence model from the inception to June 15, 2022, including guidelines, expert consensus, clinical decision-making, systematic reviews, reviews and cross-sectional studies. Three investigators independently evaluated the included literature, and extracted eligible literature. Results A total of 16 articles were finally included, and 24 pieces of best evidence were generated from 6 dimensions of risk management, needle stick injury protection, respiratory tract exposure protection, antitumor drug protection, pregnancy protection, and novel coronavirus pneumonia protection. Conclusion This study summarizes the best evidence for the prevention and management of occupational exposure in nurses, aiming to strengthen the supervision and management of occupational exposure and reduce the incidence of occupational exposure in nurses.

Key words: nurse, occupational exposure, prevention, management, evidence-based nursing

中图分类号:

R192.6

陈佳茵, 郭军, 刘宁. 护士职业暴露预防与管理的最佳证据总结[J]. 护理学报, 2023, 30(7): 53-58.

CHEN Jia-yin, GUO Jun, LIU Ning. Best evidence summary for prevention and management of nurses' occupational exposure[J]. Journal of Nursing, 2023, 30(7): 53-58.

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