评估一个新的急诊室老年人避开服务:患者和亲属的经验
Leanne Greene1, Rachel Lane2, Maria Crotty2
1Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, South Australia, Australia leanne.greene@flinders.edu.au.
Emergency medicine journal : EMJ
|July 3, 2023
概括
老年人发现新的紧急护理中心比急诊室 (ED) 更可取. 这种ED避免服务提供了一个更安静,更安全的环境,拥有专门的老年医疗人员,改善用户体验和潜在的公共卫生系统.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 老年人对非紧急情况的高急诊室 (ED) 使用是一个全球性的挑战.
- 应急部门 (ED) 的避免举措是有效的策略来缓解这个问题.
- 在南阿德莱德当地卫生网络中,为65岁及以上的个人实施了一项新的ED避免服务.
研究的目的:
- 评估新的ED避免服务在其用户,特别是老年人中是否可接受.
- 与传统的急诊部护理相比,了解用户的体验和偏好.
主要方法:
- 综合和恢复中心 (CARE) 是一个拥有多学科老年医疗团队的六个病床的病房.
- 与17名患者和15名在2021年9月至2022年9月期间访问该服务的亲属进行了半结构面试.
- 用专题分析来分析采访中的定性数据.
主要成果:
- 超过一半的32次出勤与跌倒有关;其他原因包括难以访问全科医生 (GP) 预约.
- 参与者更喜欢CARE中心而不是传统的ED,因为它是一个更安静,更安全的环境和专门的老年医护人员.
- 打电话给急救服务的犹源于ED等待时间长和住院的前景;过去的ED负面经验很常见.
结论:
- 像CARE中心这样的ED入院规避计划是对老年人紧急护理需求的可接受替代方案.
- 这些项目显示出可能使公共卫生系统受益,并增强老年患者的用户体验.
- 参与者提出了标准化的后续流程,以进一步改善服务.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
07:27Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
10.3K
相关概念视频
01:30Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
01:15Nursing Evaluation
3.4K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.4K
01:29Documentation in Long-Term and Home Healthcare Setting
931
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
931
01:11Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
02:09Bystander Effect
9.6K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.6K