预防儿童住院病房的侵略性:一个最佳实践实施项目的项目
Johnna Riddick1,2, Jorri Davis1,2, Michelle Palokas1,2
1School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
JBI evidence implementation
|April 1, 2025
概括
这项研究旨在通过实施最佳实践来减少儿科病房的患者侵略性. 虽然合规性略有改善,但需要进一步努力,以更好地为员工准备管理攻击性行为.
科学领域:
- 医疗保健管理的管理
- 基于证据的实践.
- 儿科心理健康 儿科心理健康
背景情况:
- 在住院治疗中,患有心理健康问题的儿科患者的攻击性行为率越来越高.
- 需要改善员工准备和干预策略.
研究的目的:
- 实施和评估在儿科住院病房中预防患者侵略的最佳实践.
- 提高工作人员管理和预防攻击性患者行为的能力.
主要方法:
- 使用JBI模型的基于证据的医疗保健和实施框架.
- 使用八种基于证据的实践进行了基线和后续审计.
- 实施的策略包括单位协议和电子病历修改.
主要成果:
- 识别了政策,触发因素识别和护理计划使用的漏洞.
- 开发了一个单位协议,触发文档流程和电子健康记录攻击护理计划.
- 总体而言,对基于证据的实践的遵守率从30%增加到34%.
结论:
- 证据实施项目显示,遵守最佳实践的情况略有增加.
- 该项目对员工准备管理儿科患者的攻击性有潜在的长期好处.
- 需要继续努力,以进一步提高合规性和患者安全.
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