在急救护士中,关于使用紧急严重性指数的认知偏见
Changaiz Dil Essa1, Gideon Victor2, Sadia Farhan Khan2
1Al-Shifa Institute of Health Sciences Narowal, Pakistan.
The American journal of emergency medicine
|August 24, 2023
概括
认知偏差在使用紧急严重性指数 (ESI) 进行患者分拣的急诊护士中很常见. 解决这些偏见可以改善临床决策和患者安全.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 临床决策 - 临床决策
背景情况:
- 护士使用紧急严重性指数 (ESI) 确定患者优先级.
- 认知偏见可能会对护士在分类期间的临床判断产生负面影响.
- 妥协的分选决策可能会影响提供安全和优质的患者护理.
研究的目的:
- 用ESI来确定急诊护士认知偏差的流行程度.
- 分析人口统计学变量和认知偏差在紧急护理分类中的关系.
主要方法:
- 一项涉及208名来自三级医院的急诊护士的横截面研究.
- 通过基于场景的调查问卷收集的数据,评估ESI各级的认知偏见.
- 使用SPSS v25.0进行统计分析,包括描述和推断统计.
主要成果:
- 在所有ESI级别中,认知偏见普遍存在 (51%-91%).
- 确定的特定偏见包括过早关闭,承受风险,满足偏见,框架效应和盲目服从.
- 人口统计学因素,如男性性别,2-5年的经验,护理文凭和缺乏ESI认证与增加的认知偏见有关.
结论:
- 在患者优先考虑期间,急诊护士中认知偏见的显著流行.
- 实施认知去偏差策略可以增强分拣决策.
- 通过减少偏差来提高分拣准确度,可以提高护理质量和患者安全.
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