探索护士在诊断和管理急诊患者的临床恶化方面的经验:一种定性研究
Qingqing Liu1, Changning Xie2, Jianwen Tan3
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, 410008, Hunan, China; National Clinical Research Center for Geriatric Diseases, Xiangya Hospital of Central South University, Changsha, Hunan, China; Orthopedics Department, Xiangya Hospital of Central South University, Changsha, Hunan, China.
概括
紧急护士是紧急护士.
科学领域:
- 紧急医疗 紧急医疗
- 护理科学 护理科学
- 患者安全 患者安全
背景情况:
- 紧急诊所 (ED) 患者面临着恶化的高风险.
- 前线护士对于识别和应对患者病情恶化至关重要.
- 有限的研究探讨了ED护士对临床恶化管理的全部过程.
研究的目的:
- 探索急救护士在识别和管理临床恶化方面的经验.
- 从护士的角度提供对临床恶化过程的全面了解.
主要方法:
- 定性描述性研究.定性描述性研究.
- 半结构化采访18名护士 (11名高级,7名初级) 在一家三级医院的ED.
- 对转录的采访进行主题分析.
主要成果:
- 早期识别和反应至关重要,强调对生命体征的评估.
- 在护理升级期间有效的信息传输存在挑战.
- 护士们强调了必要的能力和培训需求.
- 一个支持的文化,特别是高级护士的作用,对于合作至关重要.
结论:
- 研究了急诊护士在识别和管理临床恶化方面的经验.
- 调查结果强调需要加强支持,重点关注护士的能力.
- 建议进行持续的跨专业合作培训,以改善患者的治疗结果.
相关概念视频
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
Introduction Cardiac Emergencies
33
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
33
Ethical 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
Heart Failure VII: Nursing Interventions
99
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
99
Esophageal Varices-II: Clinical Features and Management
99
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
99
Acute Coronary Syndrome V: Nursing Management
17
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
17


