实施基于证据的ESCALATION系统对儿科临床恶化的可行性和可接受性
Fenella J Gill1,2,3, Alannah Cooper4,5,6, Pania Falconer7
1School of Nursing, Faculty of Health Sciences, Curtin University, Perth, WA, Australia. f.gill@curtin.edu.au.
Pediatric research
|August 12, 2024
概括
儿科早期预警系统ESCALATION系统是可行的,并且可以接受广泛实施. 它有效地整合了家庭参与和毒症识别在不同的医院环境.
科学领域:
- 实施科学 实施科学
- 儿科医疗保健 儿科医疗保健
- 临床情况恶化.
背景情况:
- 升级系统是一个新的儿科早期预警系统 (PEWS),旨在增强败血症识别并纳入家庭参与.
- 这项研究旨在评估ESCALATION系统的可行性并完善其广泛的医院实施.
研究的目的:
- 评估ESCALATION系统在各种医院环境中的可行性和可接受性.
- 代地改进系统的组件,包括家庭参与和败血症识别途径,为全面服务实施做准备.
主要方法:
- 通过实施科学和共同设计方法进行了一系列四项多方法研究.
- 数据收集涉及实践和图表审计,卫生专业调查和焦点小组,以及家长采访.
- 定量数据进行了描述性分析,而定性数据则进行了内容或主题分析.
主要成果:
- 这些研究涉及650次审计,205次卫生专业调查,154名卫生专业人员聚焦小组,以及对13名家长的采访.
- 107名家长报告了他们的参与,证实了家庭参与的可行性.
- 每个研究阶段都完善并证实了该系统的可行性,特别是家庭参与和败血症识别.
结论:
- 实施科学评估表明,ESCALATION系统是用户可行的和可接受的方法.
- 精致的ESCALATION系统适合在各种医疗保健环境中实现全方位服务.
- 这种基于证据的PEWS得到了很好的接受,并且可以适应卫生系统的变化.
相关概念视频
Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
Ethical Dilemmas II
968
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
968
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Acute Respiratory Failure-V
126
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
126


