在急诊室比较以患者为中心的社会护理方法:一种混合方法随机对照试验
Rachel Brown1, Jungwon Min2, Joel Fein3
1Clinical Futures and PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
Annals of emergency medicine
|February 4, 2026
概括
与风险查相比,在急诊室 (ED) 提供资源菜单增加了患者对社会护理的愿望. 建议采用分层方法,优先考虑患者的偏好,以提供有效的社会护理.
科学领域:
- 健康的社会决定因素
- 紧急医疗 紧急医疗
- 医疗服务研究 医疗服务研究
背景情况:
- 紧急服务部门 (ED) 对于社会护理的提供至关重要.
- 对于在ED环境中实施社会护理的指导是有限的.
- 护理人员对社会护理的看法对于有效实施至关重要.
研究的目的:
- 在ED中比较不同的社会护理方法.
- 了解护理人员对社会护理服务的看法.
- 评估社会风险查与资源菜单对资源需求的影响.
主要方法:
- 一个混合方法随机对照试验的二次分析.
- 对小儿ED患者进行社会风险查,资源菜单和没有评估.
- 利用调查和专题分析与护理人员的采访.
主要成果:
- 资源菜单分支对资源的渴望比选分支 (31.7%) 高 (39.6%).
- 随着所需资源域的数量增加,资源的投入也增加了 (OR 2.6).
- 护理人员建议保持情境意识,明确沟通,并进行纵向跟踪.
结论:
- 直接提供资源比ED的风险查更有效.
- 支持一个分层的社会护理模式,优先考虑患者的偏好.
- 该模型包括通用电子资源,定制辅助和基于欲望的导航.
更多相关视频
07:52Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
17.0K
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.9K
相关概念视频
Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Specialized Care Centers and Settings-II
1.3K
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...
1.3K
Brainstem: Control Centers of Medulla
4.3K
The medulla oblongata is a crucial part of the brainstem responsible for controlling various autonomic and involuntary functions. It contains several nuclei, including the olivary, cuneate, gracile, and solitary nuclei.
Olivary Nucleus
The olivary nucleus, or inferior olivary nucleus, is located within the ventrolateral part of the medulla oblongata. It is primarily involved in motor coordination and motor learning. The olivary nucleus receives input from the spinal cord, cerebellum, and motor...
Olivary Nucleus
The olivary nucleus, or inferior olivary nucleus, is located within the ventrolateral part of the medulla oblongata. It is primarily involved in motor coordination and motor learning. The olivary nucleus receives input from the spinal cord, cerebellum, and motor...
4.3K
Social Scripts
10.3K
People tend to know what behavior is expected of them in specific, familiar settings. A script is a person’s knowledge about the sequence of events expected in a specific setting (Schank & Abelson, 1977). Essentially, scripts are a particular kind of schema, one containing default values for the features within an event. In the restaurant example, the script's features include the props (e.g., tables, menu, food, and money), the roles to be played (e.g., customer and waiter),...
10.3K
Random Sampling Method
14.7K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. Data are the result of sampling from a population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest. Among the various sampling methods used by...
14.7K
