概括
由于工作流程,环境和人员问题,急诊护士面临着为心理健康寄宿者提供护理的挑战. 改善资源和环境对于在急诊室提供高质量的心理健康护理至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 心理健康服务 心理健康服务
- 护理研究 护理研究
背景情况:
- 紧急诊所 (ED) 是心理健康状况的常见护理点.
- 有关ED心理健康护理存在重大担忧,包括工作流程,环境,人员配置和患者登机.
- 有限的研究涉及影响ED护理的非心理健康方面.
研究的目的:
- 探索床边急诊护士对ED护理精神健康寄宿者的非精神健康方面的看法.
- 确定影响在ED等待转移的心理健康患者护理的因素.
主要方法:
- 定性描述性研究设计.
- 在美国,与18名床边急诊注册护士进行了半结构化采访.
- 面试指南由计划行为理论提供信息.
主要成果:
- 出现了四个主要主题:ED工作流程和拥挤,物理ED环境,日常生活活动和缺乏分心.
- 护士们发现了工作流程的低效率和环境压力因素,影响了护理.
- 与日常生活相关的患者需求和缺乏平静的分心是显著的.
结论:
- 加强人员配置和支持工作流程对于心理健康住宿人员的优质护理至关重要.
- 创造安全,平静的环境,可能在传统的ED空间之外,是必要的,以防止患者的病情恶化.
- 建议进行结构和运营方面的改变,以改善ED环境中的精神卫生保健服务.
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