注册护士在家进行非定时的咨询,可能会减少急性诊所访问
Karin Bergman1, Lena Hedén2, Annelie J Sundler2
1Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden. karin.bergman@hb.se.
BMC health services research
|November 2, 2024
概括
注册护士提供非计划的家庭医疗保健咨询,在家中管理超过50%的患者. 这种综合护理模式有效地解决了健康问题,并减少了诊所访问.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 综合护理模式 综合护理模式
背景情况:
- 建议采用综合护理模式,以有效利用医疗保健资源.
- 在这些模式中,注册护士 (RN) 可以提高患者的接入能力,并减少组织工作负担.
- 对RN主导的急性家庭咨询的研究是有限的.
研究的目的:
- 描述非预定,当天,面对面的RN家庭咨询的原因和行动.
- 评估瑞典的协作医疗保健模式 (SHD 1177).
主要方法:
- 进行了一项描述性的横截面研究.
- 从259名RN收集数据,他们在2017-2018年期间进行了615次非计划的家庭咨询.
- 使用了一个数据收集工具.
主要成果:
- 超过50%的患者在家中进行治疗,不需要在同一天转诊.
- 咨询的常见原因包括尿路问题,医疗和手术条件.
- 社会因素,如生活状况,影响了护理决策;那些有伴侣的人得到了更多的家庭护理.
结论:
- 在综合模型中,RN主导的直接评估,行动和问责制对家庭综合护理是有效的.
- 这种方法可以有效地减少急性诊所的访问.
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