紧急部门妄预防倡议的定性研究
Anita Chary1,2,3, Shan W Liu4,5, Ilianna Santangelo5
1Department of Medicine, Baylor College of Medicine.
概括
在急诊室 (ED) 的 Delirium 预防举措往往由护士领导,并且是临时性的. 常见的干预措施包括感官辅助器,所,提供食物/饮料以改善患者体验.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 神经科学是一个神经科学.
背景情况:
- Delirium是一种急性脑衰竭综合征,影响了急诊室 (ED) 和住院患者的很大一部分.
- 治疗中心是医院护理的关键入口点,特别是老年人,因此它是预防妄想症的关键地点.
研究的目的:
- 描述在美国和加拿大紧急部门实施的妄想预防计划的性质.
- 了解所涉及的员工,目标患者群体以及ED妄想预防计划中开展的具体活动.
主要方法:
- 对来自14个ED的16名急诊室管理人员进行了定性采访.
- 结合演-诱导编码方法被用来分析有关妄想预防努力的反应.
主要成果:
- 在ED的 Delirium 预防计划主要是由床边护士推动的,并且经常以临时为基础运行.
- 由于资源的局限性,三个ED针对的是高风险的老年人,而不是所有老年患者.
- 常见的干预措施包括提供辅助感官设备,实施所协议,并确保患者获得食物和饮料.
结论:
- 鉴于关于有效预防ED妄想的证据有限,低成本,低风险的干预措施是有价值的.
- 这些实践可以增强患者的体验,提高急诊室工作人员的满意度.
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