解除干扰:一项快速的定性分析,检查医院医生在行为升级事件中导航的经验
Courtney Enix1, Angela Keniston1, Ashley Jenkins2,3
1Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Journal of hospital medicine
|July 4, 2025
概括
由于有限的策略和培训,医院医生面临破坏性患者行为方面的挑战. 需要加强以团队为基础的降级系统,以改善安全和护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 行为健康 行为健康
背景情况:
- 行为升级事件在急性护理中很常见,对患者和工作人员的安全构成风险.
- 破坏性患者行为会影响工作场所的安全和医疗保健服务.
- 有限的研究存在于医院医生的实践和关于这些行为观点.
研究的目的:
- 探索医院医生与行为升级事件的经验.
- 了解医院医师在成人急性护理环境中管理破坏性行为方面的观点.
主要方法:
- 使用虚拟半结构焦点组进行了快速定性研究.
- 来自19家美国医院的27名医院医学参与者参与了这项研究.
- 讨论的重点是针对行为升级的经验和应对策略.
主要成果:
- 医院往往缺乏策略来识别有风险的患者或情况.
- 跨学科的协作至关重要,但专门的响应团队往往无法提供.
- 不一致的培训,缺乏标准化的方法和有限的积极措施导致了各种各样的反应.
结论:
- 行为升级事件显著危及患者和工作人员的安全,并破坏护理.
- 需要更好的策略来预测升级和不一致的跨学科反应.
- 支持以团队为基础的降级培训与偏见和公平考虑的系统是必不可少的.
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