开发一种沟通工具,用于涉及护理人员照顾的患者的交接:一个基于证据的实践项目
Paige Hawley1, Rachel Holst2, Jennifer Bredlow3
1Bachelor's degree in Sociology from Central College. She is currently an RN at MercyOne North Iowa Medical Center.
实施一个结构化的情况/背景/评估/建议 (SBAR) 交付表格为患者安全护理人员 (PSA) 改善了沟通,提高了患者安全和人员在创伤医院环境中的合作.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者安全协议 患者安全协议
- 护理信息学 在护理信息学.
背景情况:
- 患者护理人员和护士之间的沟通不良被确定为第三级创伤医院的患者安全风险.
- 缺乏正式的交接流程加剧了沟通问题.
- 护士,最初是其他护理人员,被从核心职责中转移.
研究的目的:
- 为了改善护士和病人护理人员之间的沟通和交换过程.
- 为患者监测人员建立一个正式的角色和标准化工具.
- 通过更好的信息交换,提高整体患者安全.
主要方法:
- 一个患者/问题,干预,比较,结果 (PICO) 框架指导了基于证据的项目.
- 情况/背景/评估/建议 (SBAR) 格式被调整为创建一个患者安全护理人员交换表格.
- 该表格是作为一种新的实践标准而实施的,数据收集时间为六个月.
主要成果:
- 创建了一个专门的患者安全助理 (PSA) 角色,优化了员工分配.
- 患者安全助理交接表格成为医院的官方文件.
- 实施后的调查表明,大多数PSA通过新表格获得足够的患者信息.
- 分析显示,心理健康和行为问题是保姆分配的主要原因.
结论:
- 基于SBAR的交付表格显著改善了注册护士 (RN),执照实践护士 (LPN),认证护士助理 (CNA) 和PSA之间的沟通.
- 该表格的推部分,包括"应避免的触发因素"和患者偏好,提高了安全性.
- 来自表格的汇总数据为分析患者监测需求提供了宝贵的见解.
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