4Ms工作表在老年患者急诊室的可用性:一种定性研究
Mackenzie A McKnight1, Melissa K Sheber1, Daniel J Liebzeit2
1University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa.
The western journal of emergency medicine
|April 10, 2024
概括
4Ms框架有助于紧急诊所医生了解老年人关怀的主要目标,但不是潜在的目标. 工作表在急诊室的可行性需要进一步的研究.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人经常有多种并发症,增加了他们退院后不良事件的风险.
- 4M框架 (重要的是什么,药物,思维,流动性) 建立在急症和门诊护理中,用于识别老年人的风险.
- 4M框架以前没有在急诊室 (ED) 设置中使用过.
研究的目的:
- 评估4Ms工作表是否有助于急诊医生了解老年成人患者的护理目标.
- 确定在ED环境中实施4M工作表的可行性.
主要方法:
- 从2022年1月到6月进行了一项定性,描述性研究.
- 参与者包括60岁及以上的成年人和急诊医生.
- 数据收集涉及患者完成4M工作表,随后与患者和临床医生进行单独的半结构面试. 定性分析涉及编码,分类和分类.
主要成果:
- 对20名老年患者和19名急诊医生进行了采访.
- 临床医生与患者的一致性是高的 (82.4%) 关心的主要目标,但低 (15.4%) 基础目标.
- 挑战包括工作表条目和讨论之间的差异,以及在放弃之前完成工作表的困难.
结论:
- 虽然临床医生和患者通常同意护理的首要目标,但基本目标往往没有引起.
- 患者的偏好各不相同,有些人更喜欢采访者协助完成工作表.
- 需要进行进一步的研究,以优化4M框架的整合到紧急护理环境中.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.8K
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
相关概念视频
01:17Flow Sheet
1.6K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.6K
01:26Methods of Documentation II: POMR
944
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
944
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
01:26Methods of Documentation IV: Focus Charting
1.0K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.0K
01:30Methods of Documentation VII: EMR
832
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
832
01:25Assessment of apical radial pulse
740
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
740