维护急诊室等候室的安全环境
1clinical skills and simulation lead, School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, England.
概括
应急部门 (ED) 等候室过度拥挤使护士面临的挑战是及时对患者进行评估和监测. 这种环境可能会导致患者和医务人员之间的沟通问题和对抗.
科学领域:
- 紧急医疗 紧急医疗
- 护理 护理 护理
- 医疗保健管理的管理
背景情况:
- 需求的增加,过度拥挤和有限的资源正在迫使患者护理进入急诊室 (ED) 等候室.
- 这种转变会影响患者护理的质量和安全.
- 在这些非传统环境中提供护理时,护士面临着重大挑战.
研究的目的:
- 探索繁忙的急救等待室环境对患者的影响.
- 检查ED工作人员面临的挑战,包括分拣和等待室护士.
- 了解对及时患者评估,监测和调查订单的影响.
主要方法:
- 对ED等候室环境的定性探索.
- 专注于患者和护理人员 (分离和等待室护士) 的经验.
- 分析与过度拥挤,资源限制和通信相关的挑战.
主要成果:
- 过度拥挤阻碍了及时的患者评估和监测临床恶化.
- 长时间的等待时间和信息流动不良导致通信中断.
- 由于环境压力因素,患者和工作人员发生冲突的风险增加.
结论:
- 紧急救援等待室的护理危及患者的安全和工作人员的福祉.
- 需要制定战略来缓解过度拥挤造成的负面影响.
- 改善通信和资源管理对于ED等候室至关重要.
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