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
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 analysisarterial blood samplingi-PARIHS modelpediatricsevidence-based nursingbarriers
Publication Date：2025-04-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 1279-1286 )