使用实时的Delphi方法,开发基于共识的框架,以改善住院老年护理中的护理评估.
Margaret Fry1,2, Kate Curtis3,4, Julie Considine5,6
1Faculty of Health, School of Nursing and Midwifery, University of Technology Sydney, Ultimo, New South Wales, Australia.
Australasian journal on ageing
|November 29, 2024
概括
一个护理框架适应了老年护理,以帮助护士识别和应对居民的临床恶化. 这种基于证据的工具支持在住院老年护理机构中更好地评估患者和优先考虑护理.
科学领域:
- 护理 护理 护理
- 老年学是一门学科.
- 医疗保健管理的管理
背景情况:
- 老年护理护士需要基于证据的工具,以有效地管理居民的不断变化的条件和临床恶化.
- 系统化的紧急护理框架,如HIRAID®,有助于准确的患者评估,文档和护理优先级.
研究的目的:
- 适应HIRAID® (病史,感染风险,红旗,评估,干预,诊断,重新评估,沟通) 紧急护理框架的住院老年护理环境.
主要方法:
- 实时的Delphi方法被用来对HIRAID®框架进行上下文调整.
- 在患者评估和老年护理管理方面,有12名专家临床领导者参加了会议.
- 预先达成80%的共识,小组稳定性作为次要措施.
主要成果:
- 在两轮调查中达成共识.
- 第1轮通过了119个项目中的105个 (88%);第二轮接受了剩余的29个项目中的20个.
- 需要对"历史"",干预"和"诊断"进行关键修改,以与老年护理护理的实践范围保持一致.
结论:
- 一个多学科专家小组可以有效地适应和语境化紧急护理框架,以照顾老年人.
- 适应的框架将为教育资源提供信息,以支持学习和实践改变老年护理护理.
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