护理人员在儿科急诊室访问后获得处方抗生素的经验:一种定性研究
Hanae Fujii-Rios1, Tara Ketterer1, Ashlee Murray1
1Division of Emergency Medicine, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA 19104.
Academic pediatrics
|December 16, 2024
概括
许多护理人员在紧急访问后,很难获得为儿童开出的抗生素处方. 提高药房的便利性和在急诊室 (ED) 给出第一剂抗生素可以改善儿科患者的药物获取.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
- 抗生素管理局 抗生素管理局
背景情况:
- 很大一部分护理人员在儿科急诊室 (ED) 访问后没有获得儿童处方药.
- 了解护理人员在获得这些关键药物时所面临的挑战,对于改善治疗坚持和治疗结果至关重要.
研究的目的:
- 探索护理人员在孩子的儿科ED访问后获得处方抗生素时遇到的促进因素和障碍.
- 确定系统层面的潜在改进,以提高儿科患者获得药物的机会.
主要方法:
- 与从四级学术儿科ED出院的儿童护理人员进行了半结构化采访,这些儿童接受了处方抗生素治疗.
- 采用了由文献审查和专家意见为基础的采访指南.
- 对编码的采访数据进行了主题分析,并补充了人口统计和药物取药率的描述性统计数据.
主要成果:
- 护理人员普遍认识到抗生素的重要性.
- 影响药物获取的关键主题包括药房的位置和便利性,药房的效率和药物可用性,在ED中接收第一剂抗生素的影响,以及有关诊断和治疗的提供商沟通的清晰度.
- 完成了22个护理人员采访.
结论:
- 护理人员获得处方抗生素的机会受到便利因素和在急救诊所访问期间服用第一剂抗生素的因素的重大影响.
- 实施系统变化,例如在ED提供完整的抗生素疗程,可能会大大改善儿科患者的药物获取和服药.
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