急症和重症护理护士在大规模枪击事件中的角色:综合性审查
Dawn Carpenter1, Alexander Menard2, Johnny Isenberger3
1Dawn Carpenter is an acute care nurse practitioner in the surgical intensive care unit and trauma service line at Guthrie Health Care System, Sayre, Pennsylvania, and an associate professor at Tan Chingfen Graduate School of Nursing, University of Massachusetts (UMass) Chan Medical School, Worcester, Massachusetts.
Critical care nurse
|September 30, 2024
概括
大规模枪击事件正在增加,影响医院. 急症和重症监护护护士需要专门的培训,包括停止出血和跑躲战的协议,以提高准备和响应在这样的事件.
科学领域:
- 紧急医疗 紧急医疗
- 护理科学 护理科学
- 公共卫生 公共卫生
背景情况:
- 在美国,从2018年到2022年,大规模枪击事件升了67.7%.
- 与医疗保健相关的枪击事件也在增加.
- 在大规模枪击事件期间,急症和重症监护护士的具体角色在现有文献中仍然未被定义.
研究的目的:
- 在大规模枪击事件中定义急症和重症监护护士的角色.
- 建立最佳实践建议,用于在医院环境中管理枪击事件.
主要方法:
- 一个综合性审查方法,由Whittemore,Knafl和Torraco指导.
- 在Ovid MEDLINE,CINAHL和Scopus数据库中进行全面的文献搜索.
- 包括专注于急症/急症护理护士,大规模枪击事件和医院环境的出版物.
主要成果:
- 在13,589篇回收的文章中,选出了27篇文章.
- 最高的证据水平包括专家共识小组和模拟大规模伤亡事件响应研究.
- 定性研究分析了护士在大规模伤亡事件中的经历.
结论:
- 确定了关键主题:预防/准备,事件响应和恢复.
- 强调教育和培训护士对大规模射击反应的关键需要.
- 建议在医院政策委员会中纳入"停止出血"技术,"跑躲战"协议以及护士代表.
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