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在ED中实施布雷塞特暴力清单
John Lawrence1, Johanna Emory, Sara Sousa
1John Lawrence is a sepsis coordinator at Inova Mount Vernon Hospital in Alexandria, VA. Johanna Emory is a pediatric ED nurse at Inova Loudoun Hospital in Leesburg, VA. Sara Sousa is an ED nurse manager at Inova Fairfax Hospital in Falls Church, VA. Danielle Thompson is a clinical mentor at Inova Alexandria Hospital in Alexandria, VA. Kenya Jenkins is an education coordinator at Inova Health System in Falls Church, VA, where Maureen Kirkpatrick McLaughlin is an implementation science consultant and Kathleen Russell-Babin is vice president of professional practice. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
实施科学 (IS) 帮助一个由护士领导的团队在成人急诊室引入布雷塞特暴力清单. 这种基于证据的工具旨在减少患者对医疗保健工作人员的暴力行为.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 改善临床实践的改善
背景情况:
- 基于证据的实践对于优质的医疗保健至关重要,但在一致的应用中经常面临挑战.
- 在临床环境中持续进行干预,需要超越初始实施的结构化方法.
- 紧急诊所 (ED) 对医疗保健工作人员的暴力行为是影响安全和护理质量的重大问题.
研究的目的:
- 描述布罗塞特暴力检查清单 (BVC) 在成年EDS在多站点卫生系统中的实施.
- 通过护士领导的团队展示实施科学 (IS) 原则和工具的应用.
- 为了减少患者对紧急救护机构工作人员的暴力行为.
主要方法:
- 在一个多站点卫生系统内,一个由护士领导的实施科学团队被组成.
- 布罗塞特暴力检查清单是用于预测患者暴力的验证工具,被选中用于实施.
- 关键的实施科学概念,方法和工具被利用来指导成年ED的过程.
主要成果:
- 该研究详细介绍了将BVC集成到常规临床工作流程中的过程.
- 实施重点是克服ED中采用基于证据的实践的常见障碍.
- 总体目标是减少工作人员报告的患者对工作人员暴力事件.
结论:
- 实施科学为将基于证据的工具 (如BVC) 嵌入到临床实践中提供了一个强大的框架.
- 护士主导的倡议有效地推动了以安全为中心的干预措施的采用.
- 成功实施BVC有可能提高员工安全,改善ED环境.
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