周末患者出院率下降:第二部分 - - 病房护士告诉我们什么?
Ian G Stiell1,2, Warren J Cheung3, Debra A Eagles3,4
1Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada. istiell@ohri.ca.
CJEM
|June 3, 2024
概括
由于周末出院人数减少,医院拥挤在周一变得更糟. 住院护士在周末出院时面临着挑战,突出了改善医院流动和减少急诊室 (ED) 拥挤的文化变革的需要.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 优化患者流量优化
背景情况:
- 医院和急诊室 (ED) 拥挤是一个重大问题,特别是在周一,这与周末患者出院的减少有关.
- 了解住院病房护士的经验和态度对于应对与周末患者出院相关的挑战至关重要.
研究的目的:
- 评估住院病房护士对周末病人的出院的经验和态度.
- 确定实施安全及及时周末排放的障碍和促进因素.
主要方法:
- 在一个主要的学术健康科学中心,对住院病房护士进行了一项定性研究.
- 理论领域框架 (TDF) 用于探索护士对影响出院决定的因素的看法.
- 采访被录音,转录,并使用NVivo软件的专题分析进行分析.
主要成果:
- 护士们意识到增加周末出院的压力,并认为这可以改善医院流量和ED断层.
- 由于周末出院压力,人们对过早出院和潜在的患者再入院存在担忧.
- 一个普遍的医院文化没有优先考虑病人的出院,影响环境环境和资源.
结论:
- 周末出院人数减少,导致周一的医院和急救中心拥挤.
- 住院病房护士在考虑周末病人的出院时面临着许多挑战.
- 医院内部的文化转变是必要的,以减少ED和医院拥挤,解决周末出院减少的问题.
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