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护士对医院前败血症评估的经验:一种定性研究
Lara Reeves1,2,3, Rebecka Rubenson-Wahlin1,2, Emma Hei Rim Andersson2
1Department AISAB, Ambulance Medical Service in Stockholm [Ambulanssjukvården i Storstockholm AB], Stockholm, Sweden.
医院前护士通过经验和指导方针来改善败血症诊断. 紧急医疗服务 (EMS) 的持续教育和明确的协议是早期毒症识别和更快的患者治疗的关键.
科学领域:
- 紧急医疗 紧急医疗
- 护理研究 护理研究
- 败血症管理管理
背景情况:
- 败血症是全球主要的死亡原因.
- 及时诊断和治疗对于患者的治疗结果至关重要.
- 医院前的急诊护士在患者的初步评估中发挥着至关重要的作用.
研究的目的:
- 探索护士照顾疑似败血症患者的经验.
- 了解在医院前环境中影响败血症识别的因素.
主要方法:
- 定性研究设计. 定性研究设计.
- 与医院前急诊护士进行的半结构面试 (n=13).
- 使用Elo & Kyngäs方法进行诱导性内容分析.
主要成果:
- 通过临床经验和实践指南,护士可以提升早期的败血症识别.
- 改善实践的关键组成部分包括临床经验,持续教育和明确的指导方针.
- 护士使用经验和协议的组合来评估败血症.
结论:
- 在医院前识别败血症可以缩短治疗时间.
- 紧急医疗服务 (EMS) 人员的持续教育至关重要.
- 将EMS整合到医疗指南中,并确保经验丰富的员工改善了败血症的识别.
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