高级护士执业人员的评估导致紧急快速评估和治疗服务
Doireann Deay1, Orla O'Keefe1, Mary Byrne1
1Emergency Department, Tallaght University Hospital, Dublin, Ireland.
International emergency nursing
|September 27, 2025
概括
由高级护士执业人员领导的紧急快速评估和治疗 (ERAT) 服务改善了急诊室的患者流动. 这种新模式可以安全地管理患者,减少临床医生出院的时间,提高患者的满意度.
科学领域:
- 紧急医疗 紧急医疗
- 护理实践 护理实践
- 医疗保健管理的管理
背景情况:
- 紧急服务部门 (ED) 面临着全球性挑战,如过度拥挤和劳动力短缺,影响护理质量.
- 高级护士执业人员 (ANPs) 提高了患者的满意度,减少了等待时间,并提供了具有成本效益的护理.
- 爱尔兰有一个明确的,受监管的ANP角色,支持自主实践.
研究的目的:
- 评估ANP领导的新紧急快速评估和治疗 (ERAT) 服务的可行性,安全性和影响.
- 针对ED的低急性,高接触时间患者队列 (腹部和胸部疼痛).
- 通过优化针对特定患者群体的护理,减轻EDs的压力.
主要方法:
- 塔拉格特大学医院ERAT服务的服务评估.
- 从2022年9月到2025年4月收集的数据.
- 评估ERAT对可行性,安全性,ED过程时间和患者满意度的影响.
主要成果:
- ERAT管理了2518名患者,没有重大不良事件或住院死亡; 74.8%的患者得到了出院.
- ERAT患者的临床医生出院时间明显缩短 (5.9 vs 8.9小时,p < 0.05).
- 94.1%的受访患者表示对护理感到满意;75%的CT扫描显示急性病理.
结论:
- 该ERAT服务是一个可行的,安全的,以患者为中心的模型,用于管理有针对性的ED演示.
- 由ANP领导的服务在提高ED效率和优化急性护理提供方面是有效的.
- ERAT模型成功地提高了患者满意度,并简化了ED内的护理流程.
相关概念视频
01:23Cardiopulmonary Resuscitation III: AED Use
536
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
536
01:25Assessment of apical radial pulse
1.2K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.2K
01:26Acute Coronary Syndrome V: Nursing Management
271
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
271
01:30Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
01:29Nursing Assessment
9.1K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
9.1K
01:19Respiratory Assessment: Purpose and Indications
1.7K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.7K