紧急服务部门的工作人员如何应对痴呆症患者表现出的挑战行为? 一个混合方法的研究研究
Laura Goodwin1, Cathy Liddiard2, Sera Manning2
1School of Health and Social Wellbeing, University of the West of England, Bristol, UK Laura.goodwin@uwe.ac.uk.
BMJ open
|August 4, 2023
概括
紧急部门 (ED) 的员工觉得自己没有准备好管理与痴呆相关的挑战性行为. 调查结果强调需要ED专用培训和资源,以改善患者护理和工作人员支持.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 痴呆症患者的挑战性行为在急诊室 (ED) 很常见.
- 对于ED工作人员而言,现有的痴呆症培训通常是一般性的,缺乏ED特定的背景.
- 有效地管理这些行为对于患者的福祉和ED效率至关重要.
研究的目的:
- 探索急诊室 (ED) 工作人员与痴呆相关的挑战性行为的经验和方法.
- 确定障碍物和促进者,以有效管理这些行为在ED设置.
主要方法:
- 一个混合方法的研究,利用在线调查和半结构化的电话采访.
- 使用描述性统计数据分析的定量数据;以主题分析的定性数据.
- 在英格兰西南部的三个NHS医院信托机构的ED中进行的研究.
主要成果:
- 大多数员工接受了一般痴呆症培训,但只有不到五分之一的员工接受了ED专项培训.
- 工作人员认为具有挑战性的行为是可以预防的,但面临着资源限制和实践变化.
- 关键主题包括具有挑战性的ED环境,对资源的需求,即兴创作和ED特定方法.
结论:
- 紧急救护人员认为他们没有充分的准备来处理痴呆症患者的挑战性行为.
- 显然需要针对ED环境的干预和培训.
- 未来的研究应该集中在开发和调整这些干预措施以支持ED工作人员.
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