在自我伤害事件后被送往急诊室的患者的途径和过渡
Malene Sandahl1, Annmarie Touborg Lassen1,2, Elsebeth Stenager2,3,4
1Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
International journal of mental health nursing
|March 19, 2024
概括
紧急服务部门面临的挑战是管理越来越多的自我伤害患者. 这项研究揭示了由于心理压力,高期望和系统性问题的混乱患者途径,突出了更好的护理协调的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 心理健康服务 心理健康服务
- 患者途径 患者途径
背景情况:
- 自伤事件后,急诊室 (ED) 呈现的频率越来越高.
- 医疗保健专业人员 (HCP) 发现患者的复杂性是压倒性的.
- 需要了解患者在自我伤害后的过渡和退院情况.
研究的目的:
- 观察和调查患者在ED中自我伤害事件后的途径.
- 确定患者过渡和出院过程中的挑战.
- 了解患者的经验和影响护理的系统因素.
主要方法:
- 参与者观察 (213小时) 和采访.
- 数据的解释性现象学分析 (IPA).
- 对20名自我伤害后入院的患者的途径分析.
主要成果:
- 患者经历了相当大的心理压力,同时对合作的期望也很高.
- 医疗保健系统的责任不清楚,缺乏对自我伤害患者的系统照顾.
- 确定的主题:心理压力与期望,解决自我伤害问题的不确定性和系统混乱.
结论:
- 由于复杂的需求和系统碎片化,EDs难以管理自我伤害患者.
- 混乱的患者路径是由于角色不清楚和缺乏系统的后续护理而导致的.
- 改善专业间的沟通,能力和协议对于有效的出院和过渡护理至关重要.
相关概念视频
Extrinsic and Intrinsic Pathways of Hemostasis
7.5K
Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which...
7.5K
Discharge Summary Forms
754
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
754
Methods of Documentation VI: Case Management Model
571
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
571
Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722
Specialized Care Centers and Settings-I
941
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
941
Planning 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


