开发和实施一个儿科护理紧急行为健康评估工具
Journal of emergency nursing
|April 10, 2024
概括
一个新的儿科急诊护士工具客观地测量了心理健康敏度,导致限制使用减少,并在急诊室减少患者/工作人员受伤. 这有助于改善儿科行为健康患者的护理.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高护理质量 提高护理质量
- 心理和行为健康 心理和行为健康
背景情况:
- 全国儿科精神和行为健康危机增加了急诊室 (ED) 的访问,影响了护理实践.
- 缺乏现有的护理工具来评估ED中的儿科精神/行为健康敏度.
- 对象性敏度评估对于适当的资源分配和儿童行为健康病例的干预至关重要.
研究的目的:
- 开发和实施一个新的儿科急诊护士工具:紧急行为健康敏度评估工具.
- 客观地测量儿科精神和行为健康患者在急诊室环境中的敏度.
- 评估该工具对患者敏度,停留时间,控制使用和伤害的影响.
主要方法:
- 一个质量改进项目,利用计划-做-研究-行动模型来设计和改进工具.
- 一个非实验性的描述性设计被用来评估一级儿科创伤中心的结果.
- 该工具是使用证据,护士反和专家意见开发的,捕获敏度并建议干预措施.
主要成果:
- 每年ED管理超过3000次精神/行为健康访问,平均每天有23名这样的患者.
- 2021年8月实施紧急行为健康敏度评估工具仪表板.
- 虽然停留时间保持不变,但患者控制使用和患者/工作人员伤害显著下降;控制使用与中等敏度相关.
结论:
- 紧急行为健康敏度评估工具为急诊护士提供了对儿科患者敏度的客观测量.
- 这种客观评估促进了有针对性的干预措施,提高了ED中儿科精神和行为健康患者的护理质量.
- 该工具支持改善患者安全和护理实践在管理高急性行为健康陈述.
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