减少接受临终关怀的患者的跌倒:一个提高质量的项目
1Michele E. Gaguski, DNP, RN, AOCN, NE-BC, APN-C, is assistant professor of Nursing, Stockton University, Galloway, NJ.
概括
这项研究涉及临终关怀的患者, 虽然在3个月内没有达到降低的目标,但出现了积极的趋势,强调需要改善治疗转诊和持续的患者教育.
科学领域:
- 老年学
- 缓和护理
- 提高质量
背景情况:
- 患者跌倒是急性护理中的一个重要问题,但在临终医院环境中研究较少.
- 临终关怀的患者面临着因终末期疾病导致的身体和认知衰退而增加的跌倒风险.
- 一个临终关怀组织内患者的增加趋势需要一个质量改善的倡议.
研究的目的:
- 实施一个可持续的流程来减少住院区域分支机构的患者倒.
- 在3个月内,患者比例从5%降至3%.
- 评估捆绑干预对跌倒率的有效性.
主要方法:
- 通过了"计划-做-研究-行动" (PDSA) 模式进行变革管理.
- 实施了包括早期治疗转诊,员工教育和补充患者教育在内的综合干预.
- 监测患者跌倒率作为主要结果指标.
主要成果:
- 具体的3个月目标是将跌幅从5%降至3%的目标没有实现.
- 数据显示下降率有望下降的趋势.
- 护士在提供补充患者教育方面表现一致,但有机会提高治疗转诊的可靠性.
结论:
- 虽然该项目没有实现短期降落目标,但它显示出有前途的趋势.
- 提高新入院患者治疗转诊的可靠性至关重要.
- 护士们对患者进行补充教育是应该保持的一大优势.
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