患者推理:患者和护理伙伴对紧急护理诊断准确性的看法
Vadim Dukhanin1, Kathryn M McDonald2,3, Natalia Gonzalez2
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
概括
患者和护理合作伙伴使用各种推理,包括事实对齐和过程感知,以判断在紧急和紧急护理环境中的诊断准确性. 了解这些不同的患者推理类型对于改善医疗保健中共享决策至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 诊断科学 诊断科学 诊断科学
背景情况:
- 验证患者报告的诊断准确度指标对于了解紧急和紧急护理中的患者观点至关重要.
- 患者和护理伙伴对诊断准确性的看法影响医疗保健经验和决策.
研究的目的:
- 调查患者和护理合作伙伴如何评估在紧急或紧急护理环境中收到的诊断的准确性.
- 探索患者和护理伙伴在评估诊断准确性时使用的推理的变化.
主要方法:
- 在2022年2月,对成年人进行了一项全国性调查,这些成年人最近访问了急诊室或急诊室.
- 对关于同意诊断准确性陈述的自由文本答案进行了定性分析.
- 主题和推理类型是从982个患者和护理合作伙伴的回复中诱导开发的.
主要成果:
- 超过1100名患者和护理合作伙伴提供了回复,分为10个主题和3种主要推理类型.
- 32%的受访者使用了支持性推理 (与事实保持一致).
- 26%的人使用基于感知的推理 (专注于过程),27%的人使用两种类型.
结论:
- 患者和护理伙伴在评估诊断准确性时采用多方面的推理.
- 了解这些不同的推理模式对于在临床实践中推进诊断联合制作和共享决策至关重要.
相关概念视频
Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
Sensitivity, Specificity, and Predicted Value
433
In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...
Sensitivity is the...
433
Receiver Operating Characteristic Plot
240
A ROC (Receiver Operating Characteristic) plot is a graphical tool used to assess the performance of a binary classification model by illustrating the trade-off between sensitivity (true positive rate) and specificity (false positive rate). By plotting sensitivity against 1 - specificity across various threshold settings, the ROC curve shows how well the model distinguishes between classes, with a curve closer to the top-left corner indicating a more accurate model. The area under the ROC curve...
240
The Availability Heuristic
6.0K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.0K
Errors occurring during blood pressure monitoring
740
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
740
Acute Coronary Syndrome III: Diagnostic Studies
9
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
9


