老年人等候室和走廊护理:与急诊护士和技术人员进行的定性研究
Sarah J Nessen1, Ari B Friedman2,3, Annika R Bhananker4
1Perelman School of Medicine, Penn Center for Emergency Care and Policy Research, University of Pennsylvania, 3400 Civic Center Blvd, Floor 5, Philadelphia, PA, 19104, USA. sjnessen96@gmail.com.
BMC geriatrics
|November 27, 2025
概括
紧急部门 (ED) 拥挤影响老年人. 护士和技术人员面临着提供等待室和走廊护理的挑战,突出了对改善安全和资源的需求,为这个弱势群体提供资源.
科学领域:
- 老年急救医学的医学
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
背景情况:
- 紧急服务室 (ED) 的拥挤对老年患者构成风险.
- 在急救室等候室和走廊照顾老年人的研究不足.
- 前线临床医生的经验对于在ED拥挤期间开发最佳实践至关重要.
研究的目的:
- 描述急救护士和技术人员在急救等待室和走廊中为老年人提供护理的经验.
- 确定在拥挤的ED环境中对老年人护理的挑战和潜在改进.
主要方法:
- 使用半结构面试进行的定性研究.
- 在一个城市学术创伤中心的20名ED护士和技术人员的有目的样本.
- 专题分析面试成绩单 (2023年11月 - 2024年3月).
主要成果:
- 出现了四个主题:老年人独特的安全问题,以人为中心的护理的局限性,资源需求和适应系统性问题的问题.
- 参与者确定了专门的等待室工作人员,老年人单独的空间和老年综合征知情的住房协议的需求.
- 通过这些拟议的变化,可以提高老年人患者的安全性.
结论:
- 资源的局限性阻碍了ED等候区中老年人的安全,高质量的护理.
- 需要系统解决方案,包括对拥挤数据的透明度,足够的员工配置,以及针对老年人的专用空间.
- 解决这些系统性问题可以改善拥挤ED的弱势老年患者的护理服务.
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