在紧急护理中平衡治疗和对老年患者的护理:一种定性研究
Journal of emergency nursing
|October 7, 2025
概括
紧急护理专业人员面临的挑战是照顾脆弱的老年人,努力平衡立即医疗需求与综合护理. 系统的局限性和以诊断为重点的文化导致当整体护理是不可能的挫折.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 医疗保健专业经验 医疗保健专业经验
背景情况:
- 人口老龄化增加了慢性疾病和虚弱的经历.
- 脆弱的老年人成年人呈现复杂的医疗,心理,认知,功能和社会问题.
- 轻微的健康事件可能会破坏脆弱的个体的稳定,往往导致急诊室 (ED) 的访问.
研究的目的:
- 探讨紧急医疗服务 (EMS) 和ED专业人员在照顾老年患者时所面临的挑战.
- 了解这些专业人员在处理复杂的老年病例时的经验.
主要方法:
- 一个多中心的定性研究.
- 采访了22名紧急护理专业人员 (EMS和ED工作人员).
- 用于数据解释的反思性主题分析,与代数据收集和分析.
主要成果:
- 一个总体的主题是"平衡治疗和护理"出现了.
- 副主题包括老年护理的复杂性,协议驱动和整体方法之间的紧张关系,以及提供者丧.
- 挫折源于系统能力和协议不足以满足患者需求.
结论:
- 紧急护理专业人员由于快节奏,以诊断为重点的ED环境,难以平衡治疗和护理.
- 当无法满足对脆弱患者的感知护理质量时,提供者的挫折感会增加.
- 建议包括赋权专业人员,专门的老年医疗教育,改进的评估工具,以及开发老年医疗友好的ED和计划.
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