在非自愿评估命令下被带到急诊室的人:一个范围审查
Julia Alcock1, Jamie Ranse2, Julia Crilly2
1School of Nursing and Midwifery, Griffith University, Parklands Dr, Southport, QLD 4222, Australia.
International emergency nursing
|June 9, 2023
概括
根据非自愿评估命令 (IAO) 到达紧急部门 (ED) 的人通常有复杂的需求和长时间的停留. 加强机构间合作对于开发针对这一群体量身定制的护理模式至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 心理健康服务 心理健康服务
- 公共卫生政策 公共卫生政策
背景情况:
- 患有精神疾病的个人经常根据非自愿评估命令 (IAO) 进入急诊室 (ED).
- 这些患者往往面临着多方面的医疗和社会经济挑战,影响ED护理的提供.
- 了解这些复杂性对于优化患者的治疗结果和ED环境中的资源配置至关重要.
研究的目的:
- 进行范围审查,确定和总结有关人口统计学,临床特征的文献,以及根据IAO到达ED的患者的结果.
- 评估当前关于在紧急情况下通过IAOs管理的个人护理的证据基础.
- 为这个脆弱的患者群体提供未来的研究和临床实践指南.
主要方法:
- 根据系统性审查的首选报告项目和范围审查的元分析扩展 (PRISMA-ScR) 准则,进行了全面的范围审查.
- 阿克西和奥马利框架指导了审查方法.
- 系统地确定了21篇相关文章,并纳入了综合.
主要成果:
- 在ED的IAO下,个人最常见的表现问题是自杀想法或意图.
- 在这些患者的医院前管理中经常观察到机构间的合作.
- 在IAOs下到达的患者中,很大一部分患者经历了超过四小时的ED停留时间.
结论:
- 关于ED中IAOs管理的患者的特征和结果的公布数据有限.
- 心理健康问题的高患病率和长时间的ED停留强调了需要改善机构间合作的必要性.
- 开发整合健康社会决定因素的护理模式对于有效管理这种复杂的患者群体至关重要.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.3K
11:05SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
15.0K
相关概念视频
01:14SBAR II: Application of SBAR
4.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.5K
01:29Nursing Assessment
7.7K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.7K
01:26Types of Reports III: Telephone and Verbal Reports
781
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
781
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:23Assessment of Respiration
1.2K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.2K
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
156
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
156