低急性儿科急诊室利用:护理人员的动机 护理人员的动机
Lisa Ziemnik1, Noah Parker2, Kyra Bufi1
1From the Dayton Children's Hospital.
Pediatric emergency care
|March 27, 2024
概括
照顾者通常会带孩子去非紧急的急诊室 (ED) 探访,因为他们觉得急诊很紧迫,并希望立即缓解疼痛. 干预措施应解决这些原因,以改善适当的寻求医疗行为的行为.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健利用情况 医疗保健利用情况
- 公共卫生 公共卫生
背景情况:
- 紧急部门 (ED) 的过度拥挤因非紧急访问而加剧,导致成本增加和等待时间增加.
- 了解护理人员对非紧急儿科ED访问的动机对于开发有效干预措施至关重要.
- 影响这些决定的流行后因素需要调查.
研究的目的:
- 确定护理人员为非紧急访问ED带孩子的主要原因.
- 为了探索这些原因的人口结构差异.
- 为促进对非紧急情况的非ED护理适当使用的干预提供信息.
主要方法:
- 对患有紧急严重性指数 (ESI) 级别儿童的照顾者进行的调查显示,在城市儿科医院进行3-5次访问.
- 收集了602名参与者的调查答复和匿名的人口统计数据.
- 根据受访者的年龄,与孩子的关系,孩子的种族,保险和ESI水平分析了回复.
主要成果:
- 感知到的紧迫性 (74.2%) 是非紧急急救访问的主要原因,通常是由渴望快速缓解疼痛/不适 (80.5%) 的欲望驱动的.
- 一个较小的比例 (13.6%) 表示他们的孩子太生病了,无法得到替代照顾.
- 在使用ED的理由中观察到显著的人口差异.
结论:
- 立即护理的愿望显著影响护理人员对低急性儿科ED访问的决定.
- 在护理建议中潜在的社会经济和种族偏见需要进一步的区域调查.
- 针对性,以社区为基础的干预措施,解决寻求低急性护理的关键驱动因素,最有可能减少不适当的ED使用.
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