创建未来的ICU:以患者为中心的设计,以优化康复
Oystein Tronstad1,2,3, Dylan Flaws4,5,6, Sue Patterson4,7
1Critical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, Chermside, QLD, 4032, Australia. oystein.tronstad@health.qld.gov.au.
Critical care (London, England)
|October 21, 2023
概括
重新设计重症监护室 (ICU) 床位可以改善患者的环境. 专注于照明和声学的创新设计有助于恢复,尽管患者的结果影响需要进一步研究.
科学领域:
- 医疗保健设计 医疗保健设计
- 患者安全 患者安全
- 临界护理医学 临界护理医学
背景情况:
- 重症监护室 (ICU) 的生存率正在改善,但ICU环境对患者,家属和工作人员产生负面影响.
- 在ICU中,过度的噪音和不良照明会阻碍身体和精神的恢复.
- 目前的ICU设计落后于医学进步,需要改进以获得最佳护理.
研究的目的:
- 通过参与式设计方法重新设计和实施创新的ICU床位空间.
- 在ICU设计中解决噪音,照明和患者连接等环境因素.
- 整合来自不同领域的解决方案,包括IT,技术和架构.
主要方法:
- 采用了一种混合方法,多阶段的参与式设计项目.
- 行动效应方法和实施研究的综合框架指导了这一过程.
- 确定了以患者为中心的问题,开发了解决方案,并计划在现场ICU环境中实施.
主要成果:
- 成功重新设计和实施了两个创新的ICU床位空间.
- 解决方案包括降低噪音,优化照明,数字化自然访问和增强患者连接.
- 早期的评估表明,照明和声学环境有所改善.
结论:
- 优化ICU床位环境,特别是照明和声学,是可以实现的.
- 需要进一步的研究来评估这些改善环境对患者结果的影响.
更多相关视频
相关概念视频
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11
Acute Kidney Injury V: Interprofessional Care
11
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
11
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K


