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Published on: November 9, 2016
Gestionar el cuidado del paciente difícil en la unidad de emergencias
JAMA
|November 9, 1984
Resumen
Este estudio presenta un enfoque de gestión para pacientes desafiantes en los departamentos de emergencia. Las estrategias consistentes ayudan a establecer límites, tranquilizar a los pacientes y gestionar las expectativas de los proveedores para una mejor atención.
Área de la Ciencia:
- Medicina de emergencia Medicina de emergencia.
- Gestión de pacientes Gestión de pacientes.
- Psicología de la salud Psicología de la salud Psicología de la salud
Sus antecedentes:
- Las unidades de emergencia a menudo se enfrentan a desafíos al administrar pacientes percibidos como "difíciles".
- Los conflictos con estos pacientes pueden escalar dentro del entorno de emergencia de ritmo rápido.
- Es posible que las estrategias de gestión existentes no aborden adecuadamente la dinámica única de la atención de emergencia.
Objetivo del estudio:
- Presentar un marco teórico y práctico para la gestión de pacientes difíciles en entornos de emergencia.
- Proporcionar estrategias para que los proveedores de atención médica puedan navegar en las interacciones difíciles con los pacientes.
Principales métodos:
- El estudio describe un enfoque basado en la comprensión de la dinámica de los conflictos.
- Hace hincapié en los planes de gestión prácticos que incluyen el establecimiento de límites y la gestión de las expectativas.
Principales resultados:
- Una comprensión clara de los conflictos de los pacientes y los factores ambientales ayuda a la gestión.
- La aplicación coherente de los principios de gestión ayuda a tranquilizar a los pacientes y proveedores.
Conclusiones:
- La implementación de estrategias consistentes y alineadas con las expectativas puede mejorar la atención de pacientes difíciles.
- Este enfoque apoya tanto el bienestar del paciente como la resiliencia del proveedor de atención médica en las unidades de emergencia.
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