基于i⁃PARIHS模型的儿科急诊血气分析最佳实践的障碍因素研究

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Research of barriers to best practices in pediatric emergency blood gas analysis based on the i-PARIHS model

ZHANG Yan，ZENG Liemei，FANG Xiaoli，YANG Shuang，XIANG Jian，TAN Yufei

Shenzhen Children's Hospital，Guangdong 518026 China

Corresponding Author  TAN Yufei，E-mail：949544376@qq.com

Abstract Objective：To systematically explore the best evidence for pediatric blood gas analysis，establish review criteria，and to analyze the barriers and facilitators in evidence-based nursing practice，thereby providing a scientific basis for developing implementation strategies.Methods：Gathered the evidence，established the review criteria，assessed the indicators by using the i-PARIHS framework's evidence application barrier identification assessment checklist to formulate a transformation plan.Results：A total of 13 pieces of evidence were included，leading to the establishment of 12 review indicators，of which 3 review indicators had pediatric patients compliance rates of less than 50%，2 review indicators had compliance rates of less than 80%，and 3 review indicators had compliance rates of less than 90%.Conclusion：By developing transformation strategies，adjustments can be made to clinical nursing workflows and information systems.The i-PARIHS model theory is utilized to analyze the barriers to evidence translation，thereby formulating recipient-centered optimization strategies to further promote the application of evidence.

Keywords  blood gas analysis; arterial blood sampling; i-PARIHS model; pediatrics; evidence-based nursing; barriers

摘要  目的：系统探索儿科血气分析的最佳证据，制定审查标准，深入剖析循证护理实践中的障碍因素和促进因素，从而为制定实施策略提供科学依据。（剩余8577字）