在急诊部实施对行为障碍的重组反应 - 一种混合方法评估方法
Jennifer Davids1, Nicole Bohlken1, Martin Brown2
1Western Sydney Local Health District, NSW Health, Australia.
International emergency nursing
|March 27, 2025
概括
在急救部门 (ED) 的暴力事件正在增加. 一种新的干预措施,Code Black,通过管理行为紧急情况来提高安全性,尽管实施需要解决环境,系统和文化因素.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 全球急救部门 (ED) 暴力事件日益增加,需要更好地管理行为紧急情况.
- 早期检测,缓和和克制对于工作人员和患者的安全至关重要.
- 之前的研究为一个多学科工作组的重组方法的开发提供了信息.
研究的目的:
- 评估实施新干预措施的障碍和促进因素,以管理ED患者的行为紧急情况.
- 确定影响安全协议成功采用的因素.
主要方法:
- 混合方法研究使用调查和采访.
- 应用理论领域框架 (TDF) 来分析数据.
- 涉及61项调查和12次采访护士,医生和安全人员.
主要成果:
- 确定了六个促进者和九个障碍,以实施黑码干预.
- 发现了阻碍实施的环境,系统和文化因素.
- 工作人员表示对技能有信心,但有些人怀疑行为变化对安全的影响.
结论:
- 重组方法有效地抑制了攻击性,提高了患者和工作人员的安全.
- 在复杂的ED环境中实施具有挑战性,需要进一步探索可持续性.
- 该研究提供了证据,用于识别和克服在紧急护理中实施新实践的障碍.
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