患者流量管理的工作:对急诊护士的基础理论研究
1Elaine Marieb College of Nursing, University of Massachusetts, Amherst, MA, United States; Present address: Manning College of Nursing and Health Sciences, University of Massachusetts, Boston, MA, United States.
International emergency nursing
|May 14, 2024
概括
紧急护士通过平衡资源和关注安全来管理患者流动. 这项复杂的工作涉及五个关键任务,导致实践改进的新理论模型.
科学领域:
- 紧急医疗 紧急医疗
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 紧急部门的过度拥挤是一个关键问题,需要创新的解决方案.
- 现有的患者流动文献缺乏对急诊护士角色的深刻理解.
- 这项研究通过探索急诊护士如何管理患者流动来解决这一差距.
研究的目的:
- 探索和理解急诊护士在患者流量管理中的工作.
- 确定急诊护士用于有效患者流动的策略和任务.
- 开发一个急诊护士对患者流量管理概念化的理论模型.
主要方法:
- 利用了构造主义的基础理论和情境分析.
- 进行了29个焦点小组,并采访了27名急诊护士.
- 在四个急救部门进行了64小时的参与者观察.
主要成果:
- 患者流量管理被定义为平衡部门资源和患者护理,以实现集体患者安全.
- 确定了五个核心任务:信息收集,持续分拣,资源管理,吞吐量管理和护理监督.
- 通过道德,高效的护理来实现患者安全,这种护理平衡了及时性和全面性.
结论:
- 紧急护士的患者流量管理是复杂的,而且需要认知能力.
- 开发了一个理论模型,反映护士的优先事项和概念.
- 该模型为知识共享,培训和急救部门的实践改进提供了基础.
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