紧急部门工作人员对NHS 111的看法首先:英格兰的定性面试研究
Jennifer MacLellan1, Joanne Turnbull2, Jane Prichard2
1Primary Healthcare Sciences, University of Oxford, Oxford, UK jennifer.maclellan@phc.ox.ac.uk.
Emergency medicine journal : EMJ
|July 6, 2023
概括
NHS 111 First旨在减少急诊室的需求,但工作人员认为现有的分拣系统和临床判断优于远程评估,阻碍了其有效性.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 为了管理需求,NHS 111 首先,为英国紧急部门 (ED) 和紧急护理中心 (UCC) 实施了抵达前分拣系统.
- 自从疫情后继续以来,人们对患者安全,接入延迟和不平等问题产生了担忧.
研究的目的:
- 调查ED和UCC工作人员与NHS 111 First系统的经验.
- 了解NHS 111 First对患者流动和护理服务的感知影响.
主要方法:
- 半结构化的电话采访与英国的27名ED/UCC从业者 (2020年10月 - 2021年7月) 进行.
- 参与者从需要高的地区被招募. 采访成绩单被诱导编码以确定关键主题.
主要成果:
- 工作人员报告说,先前存在的本地分拣和流系统继续运行,尽管预订了空位,但通过将所有患者转移到一个单一的队列中,造成了丧.
- 实践者认为基于算法的远程评估不如使用细微的临床专业知识的面对面评估有效.
结论:
- 现有的基于敏度的分类系统和员工对临床判断的信心对NHS 111 First的成功实施构成重大障碍.
- 该系统作为有效的需求管理策略的潜力受到这些持续挑战的限制.
相关概念视频
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Data Collection II
8.3K
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
8.3K
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Nursing 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
Ethical Dilemmas I
959
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
959


