护理模式与高级实践护士在急诊室:一个范围审查审查
Samantha Horvath1, Sanja Visekruna1, Kelley Kilpatrick2
1School of Nursing, McMaster University, Hamilton, Ontario, Canada.
International journal of nursing studies
|October 6, 2023
概括
紧急部门的高级实践护士改善了患者和组织的结果. 包括执业护士在内的各种护理模式,与传统护理相比,显示出类似或更好的结果,解决医疗保健系统的挑战.
科学领域:
- 医疗保健管理的管理
- 护理 护理 护理
- 紧急医疗 紧急医疗
背景情况:
- 由于初级保健准入问题,COVID-19大流行以及劳动力短缺,紧急部门面临越来越多的访问.
- 在急诊室延长的等待时间导致患者的不良结果,需要创新的护理模式.
- 高级实践护士 (APN) 拥有管理初级和急性护理需求的专业知识,但他们的整合到紧急环境中尚未完全理解.
研究的目的:
- 进行范围审查,以了解紧急部门APN的运作.
- 确定APN如何改善紧急护理环境中的患者和组织结果.
- 探索各种护理模式,涉及急救部门的APN.
主要方法:
- 使用多个数据库 (MEDLINE,EMCARE,EMBASE,CINAHL) 和灰色文献进行了全面的范围审查.
- 在标题,摘要和全文选中应用了包含和排除标准.
- 关于护理模式,APN角色以及患者,提供者和组织结果的数据被提取和分析.
主要成果:
- 76项研究符合纳入标准,揭示了急诊室 (如快速通道,儿科,分组) 的各种APN模型.
- APNs,主要是执业护士,在关键紧急指标 (如停留时间和等待时间) 中表现出改善.
- 当APN与其他医疗保健提供者进行比较时,患者和组织的结果是可比的或优越的.
结论:
- 在紧急部门使用APN的国际模型为开发和维持这些角色提供了实际见解.
- 扩大急救部门的APN角色与他们不断增长的实践范围保持一致,并满足医疗保健系统的需求.
- 实施APN的护理模式可以对紧急服务的创新和卫生政策优先事项做出重大贡献.
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