医院前临床决策为行为紧急情况的药物管理
Lieu Nguyen Lowrie1, Leah Duncan1,2, Dustie Angela Samuels3
1University of Kansas School of Medicine-Wichita, Wichita, KS.
Kansas journal of medicine
|October 4, 2023
概括
护理人员在决定用于行为紧急情况的药物时考虑患者的安全性和紧急情况的严重性. 患者表现和病史等因素会影响医院前环境中的药物选择.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 在医院前的护理.
背景情况:
- 医院前的行为紧急情况协议指导药物使用.
- 护理人员独立决定药物给药.
- 了解护理人员的决策对于有效治疗至关重要.
研究的目的:
- 评估影响护理人员在行为紧急情况中的药物治疗决定的情况.
- 为了确定医护人员在选择用于行为紧急情况的药物时考虑的因素.
主要方法:
- 使用调查和开放式问题进行定性研究设计.
- 来自美国中西部一个县的149名护理人员参加了这次活动.
- 沉浸结晶方法用于调查答复的内容分析.
主要成果:
- 六个主题影响了药物决定:安全性,无法平静,严重程度,评估困难,病因和患者因素 (年龄,体型).
- 六个主题影响了药物选择:病因,表现,患者病史/年龄和预期结果.
- 实现了53%的响应率.
结论:
- 护理人员在行为紧急情况的药物决定中优先考虑安全性和病因学.
- 这些发现可以为改善行为健康危机的紧急医疗服务 (EMS) 协议的开发提供信息.
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