感知参与急诊室护理:护士领导的床边班次交接的观察性研究
M C Christien Van Der Linden1, R Roukayya Oueslati2, A R Rianne C Lam1
1Department of Emergency Medicine, Haaglanden Medical Center, P.O. Box 432, 2501 CK The Hague, the Netherlands.
International emergency nursing
|January 7, 2026
概括
患者参与紧急护理至关重要. 虽然床边轮班交换 (BSH) 旨在改善参与,但这项研究发现,BSH与患者在急诊室感知到的参与之间没有关联.
科学领域:
- 紧急护理 紧急护理
- 患者参与 患者参与
- 医疗保健通讯 医疗保健通讯
背景情况:
- 患者参与是优质急诊护理的关键,但在繁忙的环境中具有挑战性.
- 床边轮班交换 (BSH) 可能会提高患者的参与度,但对ED的具体证据很少.
研究的目的:
- 评估患者对参与紧急护理的看法.
- 为了确定是否护士领导的BSH,使用SBAR格式,与增加的患者参与相关.
主要方法:
- 对104名退院ED患者进行了横截面电话调查.
- 通过使用CollaboRATE问卷评估所感知的参与.
- 收集了关于患者/访问因素,拥挤和记录BSH暴露的数据.
主要成果:
- 患者报告了中度至高度的感知参与 (平均协作率21.8/27).
- 只有11.5%的人获得了最佳参与分数.
- 在BSH和感知参与 (p=0.81) 或拥挤 (r=-.05,p=0.59) 之间没有发现显著的关联.
结论:
- 大多数患者感到参与,但最佳参与是罕见的.
- 缺乏BSH与参与之间的关联表明实施的变化.
- 需要进一步的研究,以建立一致的实践,以加强患者参与.
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