在儿科住院的夜间浮动系统的意外后果
Ali Al Maawali1, Allan Puran2,3, Susanna Talarico2
1Royal Hospital, Child Health Department, Muscat, Oman.
Paediatrics & child health
|July 2, 2025
概括
夜浮 (NF) 系统可以减少居民的疲劳,并改善患者护理的连续性. 然而,一些意想不到的后果,如评估的减少和对生活质量的混合影响,在NF系统设计中需要仔细考虑.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 住院项目使用夜漂浮 (NF) 系统来满足工作时间法规.
- 之前对NF系统的研究主要集中在居民疲劳和生活质量 (QoL) 上.
- 从实习生和教师的角度对NF系统的全面理解对于优化患者护理和教育至关重要.
研究的目的:
- 探索居民和教师与夜漂浮 (NF) 系统的经验.
- 确定NF系统对患者护理,教育和质量生活的预期和非预期后果.
- 为开发有效和可持续的NF模型提供信息.
主要方法:
- 使用建设主义范式进行定性主题分析.
- 与15名实习生和3名教职员工进行了半结构化采访.
- 探索对NF呼叫结构与传统24小时呼叫结构的看法.
主要成果:
- NF系统导致居民疲劳减少,改善了患者护理连续性.
- 确定的主题包括对居民,患者/家庭和课程的影响.
- 八个子主题揭示了NF系统的预期和非预期后果.
结论:
- NF系统实现了预期的好处,如减少疲劳和更好的护理连续性.
- 意想不到的结果包括对评估,反,能力整合的负面影响,以及对居民质量生活的可变影响.
- 在设计和实施NF系统时,需要特别注意这些意外后果.
相关概念视频
Nightmares and Night Terrors
166
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
166
Factors Affecting Drug Response: Overview
2.4K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.4K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
111
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
111
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
135
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
135
Restless Leg Syndrome and Night Terrors
259
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
259
Hemodialysis II: Procedure and Complications
146
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
146


