概括
紧急护士创造性地调整资源和角色,以在过度拥挤的情况下管理患者流动. 他们的认知适应能力将重点转移到即时需求,突出突出紧急护理方面的重要创新.
科学领域:
- 护理 护理 护理
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 随着COVID-19的流行,护士们的创新和适应能力得到了突出突出.
- 由于过度拥挤,急诊护士不断调整患者流动策略.
- 紧急部门的这一关键工作没有得到充分的记录.
研究的目的:
- 描述紧急护士如何在拥挤的环境中管理患者流动.
- 确定护士在患者数量大时所采用的适应策略.
主要方法:
- 基于理论研究,利用29个重点小组和与急诊护士的采访.
- 数据收集包括64小时的参与者观察在4个急诊室.
主要成果:
- 护士可以创造性地调整资源,人员和护理流程,以增加容量和加快患者的吞吐量.
- 认知适应性涉及修改注意力和焦点;参与度随着拥挤而增加,可能导致过度程度的脱离.
- 随着过度拥挤的升级,重点从主动/回顾性策略转移到立即的患者护理需求.
结论:
- 紧急部门的能力依赖于护士的认知和组织劳动.
- 创新和适应能力是紧急护理实践的基础.
- 需要进一步的研究来开发基于证据的患者流量管理策略,用于紧急情况下.
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