推进儿科护理:在护理领导的视听临床服务中,虚拟KIDS体验
Eunice Toriola1, Lyn Biviano1, Christine Lau2
1virtualKIDS, Sydney Children's Hospital Network, Sydney, Australia.
Creative nursing
|April 11, 2024
概括
护士领导的远程医疗服务VirtualKIDS,在儿科患者中减少了44%的急诊室访问. 这种创新的虚拟护理模式显示了急性儿科护理的巨大潜力,改善了患者的治疗结果,减少了住院病例.
科学领域:
- 儿科医疗保健创新 儿科医疗保健创新
- 远程医疗和数字健康
- 护理为主导的护理模式
背景情况:
- 在COVID-19大流行期间,儿科急诊部 (ED) 访问的增加,特别是对于非紧急病例,需要替代性护理解决方案.
- 澳大利亚新南威尔士州建立了virtualKIDS,这是一家全天24小时全天24小时的护士领导的远程医疗服务,旨在解决这一不断升级的趋势.
- 该服务集成了多个组件,以管理与流行病相关的需求,并提供持续的虚拟护理.
研究的目的:
- 介绍虚拟KIDS服务的演变和各种护理模式.
- 评估虚拟KIDS对减少儿科病人的急诊室访问和住院治疗的影响.
- 突出护理为主导的远程医疗的潜力,作为急性儿科护理传统ED访问的替代方案.
主要方法:
- 实施虚拟KIDS,这是一个由护士领导的综合远程医疗服务,利用视听咨询.
- 部署三个关键要素:COVID-19门诊响应小组 (CORT),虚拟KIDS急性审查 (vKAR) 用于出院后的支持,以及虚拟紧急护理 (VUC) 用于护理领导的分组和评估.
- 探索混合的门诊模式,包括家庭睡眠研究和仅在白天进行手术手术.
主要成果:
- 初步数据显示,使用该服务的患者在48小时内访问儿科急诊室的次数减少了44%.
- 虚拟紧急护理 (VUC) 组件通过护理主导的分组和视听评估实现了69%的避免住院率.
- 混合模型在减少住院患者和改善患者治疗结果方面取得了成功.
结论:
- 虚拟KIDS服务有效地发展,以满足大流行期间和之后的儿科护理需求.
- 护士主导的远程医疗模式,如virtualKIDS,为急性儿科护理的急诊室访问提供了一个可行的和有影响力的替代方案.
- 该服务的适应性结构和重点是以患者为中心的护理,有望改善儿科的医疗保健可访问性和效率.
相关概念视频
01:27Nursing Clinical Information System
771
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
771
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
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
01:18Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K