通知-ED:护士或技术人员对急诊室认知评估的见解
Sarah J Nessen1, Anita N Chary2,3,4, Annika R Bhananker4
1Perelman School of Medicine, Penn Center for Emergency Care and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Journal of the American Geriatrics Society
|June 14, 2025
概括
紧急部门的护士和技术人员支持认知障碍查. 查工具和临床团队的优化是紧急部门可行的实施的关键.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性认知障碍 (CI) 查在急诊室 (ED) 是一个日益关注的领域.
- 在ED中进行CI查的现有策略需要评估可行性和可接受性.
研究的目的:
- 从ED注册护士和技术人员的角度评估实施CI查工具和策略的可行性和可接受性.
- 探索机器学习 (ML) 工具的潜力,以识别高风险患者进行有针对性的CI查.
主要方法:
- 一项定性研究利用城市学术医院ED护士和技术人员的半结构面试.
- 采访探讨了关于查可行性,可接受性以及使用ML,平板电脑查和特定工具 (太华3DY,Short Blessed Test) 的意见.
- 实施研究综合框架 (CFIR) 指导了采访过程和快速分析.
主要成果:
- 出现了四个主题:CI选的好处,融入工作流程,专业角色限制和实施需求.
- 较短的查 (例如,太华3DY) 在分拣期间是可行的;较长的查 (例如,短祝福测试) 更适合于室内护理.
- 电子健康记录的整合和专门的查团队对于成功实施至关重要.
结论:
- ED护士和技术人员支持CI查计划.
- 成功实施取决于优化选方法和临床团队结构,以确保工作流的可行性.
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