评估儿科息护理救护车计划:一项回顾性研究
Julianna Wan1,2, Angela Vaughan3, Elizabeth Shepherd1
1Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia.
概括
儿科息护理救护车计划支持患有生命限制疾病的儿童. 虽然救护人员的反应与护理计划保持一致,但目前尚不清楚救护人员是否在召集期间积极使用这些计划.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 紧急医疗服务 紧急医疗服务
- 医疗信息学 医疗信息学
背景情况:
- 儿科息护理救护车计划被新南威尔士救护车利用,以满足有生命限制条件的儿童的需求.
- 了解这些计划的利用和影响对于改善护理协调至关重要.
研究的目的:
- 描述使用儿科息护理救护车计划的儿童人口.
- 分析计划完成率,护理人员在救护车呼叫期间的反应,以及计划建议与实际护理人员干预之间的协调.
主要方法:
- 在2017年1月至2019年12月期间提交的141份儿科息护理救护车计划的回顾性分析.
- 从计划中编码人口统计信息,护理偏好和药物建议.
- 分析了从2018年1月到2019年12月的199个相关的护理人员呼叫记录,以评估护理人员的响应.
主要成果:
- 38%的计划建议在标准护理人员范围之外的药物.
- 常见的呼叫原因包括症状管理,计划转移和终身护理,超过三分之二发生在工作时间后.
- 虽然护理人员的干预措施通常与计划建议一致,但计划仅在25.3%的呼叫笔记中被记录为目击.
结论:
- 该研究使用儿科息护理救护车计划及其相关的紧急服务互动来表征患有生命限制疾病的儿童.
- 护理人员的行动与计划目标一致,但计划影响护理人员决策的程度尚不清楚,这凸显了理解护理整合的差距.
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