英国普通医院的专业智力障碍联络护士:使用大型死亡数据集的队列研究
Rory Sheehan1,2, Jonathon Ding3, Adam White3
1Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK rory.sheehan@kcl.ac.uk.
智力障碍联络护士提高医院护理质量,为患者做出合理的调整. 然而,他们的投入是有限的,突出需要增加可用性来支持这个脆弱的人群.
科学领域:
- 医疗保健质量研究研究
- 护理实践的护理实践
- 智力障碍服务 智力障碍服务
背景情况:
- 对智力障碍 (ID) 患者的一般医院护理往往缺乏质量和量身定制的支持.
- 知识障碍联络护士 (IDLNs) 能够弥合这一差距,并提高医疗保健的获取.
- 关于IDLN对ID患者医院护理质量影响的数据有限.
研究的目的:
- 调查智力障碍联络护士 (IDLN) 输入与智力障碍患者接受的医院护理质量之间的关联.
- 分析IDLN参与如何影响护理流程和整体质量评级.
主要方法:
- 来自英格兰普通医院 (2016-2021) 的死亡率审查国家数据集的回顾性分析.
- 包括4742名在医院死亡的智力残疾成年人.
- 后勤回归用于比较特征并探索IDLN输入,护理调整和最佳实践识别之间的关联.
主要成果:
- 已死亡的ID患者中有三分之一接受IDLN输入;这些输入在英格兰分布不均.
- 参与IDLN显著增加了合理调整 (aOR 1.95) 和最佳实践 (aOR 1.37) 识别的可能性.
- IDLN输入与整体护理质量评级 (aOR 0.94) 没有显著的关联.
结论:
- 智力障碍联络护士目前参与英国少数患有智力障碍的住院患者的护理.
- 增加IDLN的可用性对于改善这一弱势群体的医疗保健质量和结果至关重要.
- 进一步整合IDLN服务可以提高定制护理和一般医院的患者安全.
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