危机解决团队可以取代住院病房吗? 来自法国一项准实验研究的结果
Laura Saez1,2, Laken Ndjoh Eton3, Valérie Demessance3
1EPSM Metz-Jury, Route d'Ars Laquenexy, 57245, Jury, France. laura.saez@epsm-metz-jury.fr.
BMC health services research
|March 19, 2025
概括
与住院病房一起实施危机解决团队改善了精神卫生保健的质量. 这种模式导致住院时间减少,患者满意度增加,特别是受益于女性患者.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 精神科护理创新精神科护理创新
- 优化医疗保健系统的优化
背景情况:
- 危机解决小组 (CRT) 是有前途的,但在欧洲范围内实施不均.
- 法国缺乏CRT的国家政策,现有研究有限.
- 本研究解决了在法国背景下对CRT有效性的证据需求.
研究的目的:
- 评估将危机解决小组 (EPSIAD) 与住院精神病房整合的影响.
- 评估患者入院的变化,住院时间的长度以及整合后的患者满意度.
- 确定CRT作为补充心理健康服务的可行性.
主要方法:
- 采用了一种准实验性的,自然主义的设计.
- 一个住院精神病房被转换为一个危机解决团队 (EPSIAD).
- 对转换前一年和转换后一年的入院,住院时间和患者满意度的数据进行了收集和分析.
主要成果:
- 女性患者的入院率显著增加 (41.0%vs49.5%).
- 住院的平均时间减少了五天.
- 患者满意度显著增加,特别是在信息清晰度,员工关系和参与决策方面.
结论:
- 将医院病房与危机解决团队相结合,可以提高整体护理质量.
- CRT为住院提供了一种可行的替代方案,提高了患者的满意度和重症监护准入.
- 该模型特别有利于在家接受护理的女性患者;对于拒绝护理的患者需要进一步研究.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
9.6K
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.2K
相关概念视频
Robbers Cave
14.2K
During the 1950s, the landmark Robbers Cave experiment demonstrated that when groups must compete with one another, intergroup conflict, hostility, and even violence may result. At the Oklahoman summer camp, two troops of boys—termed the Rattlers and the Eagles—took part in a week-long tournament. During this time, their negativity culminated in derogatory name-calling, fistfights, and even vandalism and destruction of property. However, this work also revealed that such tension...
14.2K
Elements Crucial for Effective Psychotherapy
26
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
26
Obedience
32.6K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.6K
The Stanford Prison Experiment
22.8K
The famous and controversial Stanford Prison Experiment, conducted by social psychologist Philip Zimbardo and his colleagues at Stanford University, demonstrated the power of social roles, social norms, and scripts.
22.8K
Nursing Evaluation
3.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.2K
