在门诊专科护理诊所进行注册护士带领访问:实施过程审查
Chrystal L Lewis1, Teresa Bell-Stephens, Joli Vavao
1Author Affiliations: Center for Education, Research, and Professional Development, Stanford Health Care, Palo Alto, California (Dr Lewis); Neurosurgery, Stanford Health Care, Palo Alto, California (Ms Bell-Stephens and Mrs Vavao); Center for Professional Practice, Stanford Health Care, Palo Alto, California (Mrs Platon); Department of Primary Care and Population Health, Stanford University School of Medicine (Dr Lewis); Department of Neurosurgery, Stanford University School of Medicine (Dr Steinberg); and Stanford Stroke Center, Stanford University School of Medicine (Dr Steinberg).
在门诊护理中由注册护士 (RN) 领导的访问提高了神经外科诊所的效率. 这项为期25年的研究显示,持续的成功,增加了手术室 (OR) 病例,并优化了护理.
科学领域:
- 神经外科
- 门诊护理
- 护理工作
背景情况:
- 患者获得门诊神经外科专科护理的挑战.
- 关于注册护士 (RN) 领导的访问的实施和可持续性的数据有限.
研究的目的:
- 介绍25年来在神经外科门诊诊所进行的RN领导访问的实施和持续成功.
- 评估RN领导的诊所对临床效率和神经外科病例负担的影响.
主要方法:
- 对25年的临床数据进行纵向分析.
- 操作室 (OR) 病例编号的跟踪和RN领导的访问的实施阶段.
主要成果:
- 平均神经外科外科病例从211例 (2000-2004) 增加到306例 (2005-2009),持续在309例 (2020-2024).
- 经过RN领导的访问在20多年中取得了持续的成功,支持手术量增加.
结论:
- 护士带领的访问是优化门诊护理团队实践的有效策略.
- 建议对经济影响,患者获取和团队满意度进行进一步的研究.
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