Development of review indicators for blood glucose management in ICU patients with insulin intravenous infusion and analysis of barriers
10.3760/cma.j.cn115682-20231208-02506
- VernacularTitle:ICU胰岛素静脉输注患者血糖管理审查指标的制定及障碍因素分析
- Author:
Ping YU
1
;
Hong BIAN
;
Zhiyin ZHOU
;
Ping HE
;
Yingfeng ZHOU
;
Qin SUN
;
Ye ZHU
;
Xiaoyan HUANG
Author Information
1. 无锡市第二人民医院护理部，无锡 214002
- Keywords:
Intensive Care Unit;
Insulin;
Infusions, intravenous;
Blood glucose management;
Review indicator;
Barriers;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(28):3859-3865
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current clinical practice status of evidence on blood glucose management in ICU patients with insulin intravenous infusion, analyze barriers and formulate action strategies, so as to provide reference for the translation of evidence into clinical practice.Methods:Based on the clinical evidence application model of the Joanna Briggs Institute (JBI) Evidence-Based Health Care Center, clinical nursing problems were identified, literature search, evaluating and summarizing evidence were carried out, and review indicators and methods were developed. From July to August 2023, convenience sampling was used to select 42 nurses and 80 patients with insulin intravenous infusion from the comprehensive ICU of Wuxi Second People's Hospital as participants for baseline review. Barriers were analyzed and change strategies were developed based on baseline review results.Results:A total of 16 pieces of evidence were introduced regarding blood glucose management in ICU patients with insulin intravenous infusion. Nineteen review indicators were formulated, of which 13 had a compliance rate of less than 60%. Analysis identified 18 barriers and 13 facilitators. Sixteen change strategies were developed based on barriers and facilitators.Conclusions:There is still a significant gap between the evidence of ICU insulin intravenous infusion blood glucose management and clinical practice. Evidence-based practice programs should be constructed based on intervention strategies to effectively promote the application of evidence in clinical practice.
