医院前临床决策为行为紧急情况的药物管理
Annals of family medicine
|January 25, 2024
概括
护理人员在决定用于行为紧急情况的药物时考虑患者和提供者的安全性,紧急情况的严重程度和患者的病情. 具体的药物选择还取决于病因,表现和患者病史.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 行为健康 行为健康
背景情况:
- 医院前的行为紧急方案提供药物指导,但护理人员做出最终的药物选择决定.
- 了解护理人员的决策对于优化医院前行为紧急护理至关重要.
研究的目的:
- 描述医护人员在涉及化学限制的医院前行为紧急情况的临床决策.
- 确定影响护理人员选择特定药物的因素.
主要方法:
- 2019年11月,美国中西部一个县的护理人员进行了一项调查.
- 两个开放式问题探讨了决策过程和药物选择因素.
- 用沉浸结晶方法进行定性数据分析.
主要成果:
- 药物决定出现了六个主题:安全性,失败的镇静技术,紧急严重程度,评估挑战,行为事件病因和患者因素 (年龄,大小).
- 药物选择出现了六个主题:病因学,患者表现,病史,年龄,预期效果和其他因素.
- 达到了53%的响应率 (79/149).
结论:
- 护理人员对治疗行为紧急情况的药物决定受到安全性,病因学和患者表现的影响.
- 这些发现可以为紧急医疗服务 (EMS) 管理人员提供信息,帮助他们完善行为紧急协议.
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