在长期护理机构实施基于风险因素的压力伤害预防方案:质量改进项目
Megan Kazakoff1, Heeyoung Lee1
1University of Pittsburgh School of Nursing, 3500 Victoria Street Room 336, Pittsburgh PA 15213, USA.
概括
在长期护理机构 (LTCF) 实施了一项新的压力损伤 (PI) 预防方案,将病例发生率降低了80%. 这种基于证据的方法简化了决策,并且在不增加员工工作量的情况下是有效的.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 压力损伤 (PI) 每年影响11-20%的LTCF居民,耗资38亿美元.
- 现有的临床试验支持在医院环境中预防PI.
研究的目的:
- 在长期护理机构 (LTCF) 实施和评估基于证据的压力伤害预防算法.
- 评估该协议对PI发病率,员工购买,可持续性和成本的影响.
主要方法:
- 在郊区LTCF中使用了前后队列设计.
- 一个基于证据的算法指导PI预防策略,基于布拉登尺度风险评估.
- 在实施后,调查收集了直接护理人员和管理层的数据.
主要成果:
- 在71名参与者 (平均年龄为85.07) 中,PI发病率下降了80%.
- 护士工作人员报告说,该协议是有效的,并没有增加工作量.
- 干预忠实度达到了92%.
结论:
- 实施的协议有效地减少了LTCF设置中的压力损伤发生率.
- 该协议简化了护理人员的决策,减少了浪费.
- 设施管理的接受支持协议的可持续性和效益.
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