开发和实施两项基于英国ED的医院暴力干预计划的实践者经验:一个过程评估
Simon Moore1,2, Jordan Van Godwin3, Graham Moore3,4
1School of Dentistry, Cardiff University, Cardiff, UK mooresc2@cardiff.ac.uk.
Emergency medicine journal : EMJ
|February 13, 2025
概括
由护士领导的医院暴力干预计划 (HVIP) 改善了急诊室 (ED) 的患者护理. 这些计划提高了患者的参与度,并支持ED工作人员,有效地解决与暴力有关的风险.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 紧急服务部门 (ED) 是解决与暴力有关的健康风险的关键点.
- 基于医院的暴力干预计划 (HVIP) 旨在减少患者暴露于暴力的风险.
- 实施HVIP可能会给医疗人员带来挑战和额外的负担.
研究的目的:
- 探索从业人员对护士领导的HVIP设计和交付的看法.
- 评估HVIP对患者需求的响应以及与ED卫生专业人员的接触.
- 了解HVIP与当地环境的适应情况,并分析相关文档.
主要方法:
- 英国医院两家护士领导的HVIP的定性过程评估 (2023年1月至9月).
- 采访了49名参与HVIP委托,实施或更广泛的暴力预防生态的参与者.
- 对46个与HVIP相关的地方/国家政策和指导的文献分析,以及主题和内容分析.
主要成果:
- 由于因与暴力相关的原因而出现在急诊室的患者的服务缺口,因此建立了HVIP.
- HVIP护士利用临床记录来识别患者,并通过转介提供以患者为中心的护理.
- 超过60%的符合条件的患者参与;护士被认为是支持ED工作人员的可信的冠军,尽管干预的短期性质存在局限性.
结论:
- 由护士领导的HVIP通过访问临床记录来促进患者参与.
- 这些计划在紧急护理中提供了有价值的附加服务,支持患者和ED工作人员.
- 将HVIP成功整合到常规护理中需要时间,并仔细考虑干预的持续时间.
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