对骨折患者 (eHIP) 早期通知护理包的实施评估
Kate Curtis1,2, John McKenzie3, Geoffrey Melville4,5
1Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Gerontology
|March 7, 2024
概括
早期关节骨折激活和护理包 (eHIP) 计划改善了关节骨折的老年人遵守临床标准. 这种多学科的方法提高了患者的护理和结果,而不会增加治疗成本.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 改善临床质量 改善临床质量
背景情况:
- 老年人骨折导致高死亡率和显著的医疗保健费用.
- 对部骨折的临床护理标准的遵守是可变的.
- 需要有效的实施策略来改善关节骨折管理.
研究的目的:
- 评估多学科早期激活机制和护理包 (eHIP) 的实施和有效性.
- 评估eHIP对患者结果和医疗服务效率的影响.
- 确定eHIP在多大程度上改善了澳大利亚医疗保健质量和安全委员会 (ACSQHC) 骨折临床护理标准的遵守.
主要方法:
- 使用了受控的测试前和测试后研究设计.
- 该研究于2019年6月至2021年6月期间在澳大利亚一家大型区域医院进行.
- 该研究包括565例关节骨折病例进行分析,比较 eHIP实施前后的结果.
主要成果:
- 在实施后的12个月内,eHIP通路激活率维持在88%.
- 接受六个或更多护理组件的患者比例从36%增加到49%.
- 在疼痛和认知评估,动员和止痛处方方面观察到显著的改善,包括 Fascia iliaca 阻断的使用.
结论:
- 综合基于证据的行为变化理论的eHIP计划,在关节骨折患者护理方面取得了持续的改善.
- eHIP有效地提高了对ACSQHC骨折临床护理标准的遵守.
- 多学科的方法证明了对患者护理过程的积极影响,而不会改变急性治疗成本.
相关概念视频
01:15Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
01:29Documentation in Long-Term and Home Healthcare Setting
890
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
890
01:26Flail Chest-II
169
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
169
01:21Planning Nursing Care I
4.4K
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...
4.4K
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K
01:15Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K