通过开发儿科行为健康聚集工具来提高临床医生的同意和舒适度
Nicole Sanders1, Karla M Abela2, Lisa Davenport1
1Texas Children's Hospital, United States of America.
Journal of pediatric nursing
|May 8, 2024
概括
一个新的聚集工具改善了医院住院儿科行为健康 (BH) 患者的患者稳定性团队协议的20%. 这种增强的情境意识可能有助于减少工作场所暴力,并提高临床医生的舒适性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 儿科行为健康 儿科行为健康
- 工作场所安全工作场所安全
背景情况:
- 被诊断为行为健康 (BH) 的住院儿科患者可能表现出导致工作场所暴力的行为.
- 工作场所暴力可能会对临床医生的舒适性和患者护理产生负面影响.
- 拥挤提供了一个潜在的策略来识别暴力风险,并提高情境意识.
研究的目的:
- 在急症护理床上实施BH特定的集群工具.
- 通过增加对患者稳定性的团队协议来提高临床医生的情境意识.
- 为了提高临床团队在照顾BH患者时的舒适度.
主要方法:
- 使用质量改进 (QI) 方法来开发和实施BH特定的聚集工具.
- 该工具的重点是识别患者的触发因素和评估行为稳定性.
- 采用了混合方法,包括重点小组,调查和协议测量.
主要成果:
- 临床医生对患者稳定性的共识增加了20%.
- 提供者在照顾BH患者时的舒适度增加了4%.
- 89%的提供者报告说,他们对护理计划有了更好的理解,81%的提供者报告说,他们对护理计划有了更好的沟通.
结论:
- 一个标准化的聚集工具可以有效地提高医疗保健团队的情境意识.
- 这种方法可能有助于减轻BH患者的工作场所暴力的环境.
- 该工具对改善这种人群的沟通和护理规划具有前景.
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