一项由护士领导的研究,以调查影响患者对急诊部诊断质量的感知因素
Journal of emergency nursing
|February 5, 2026
概括
患者对急诊室诊断质量的看法因人群而异. 女性和年轻患者报告满意度较低,而老年人报告满意度更高. 较长的急诊室停留时间与诊断质量认知的降低有关.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 护理 护理 护理
背景情况:
- 紧急服务部门 (ED) 的诊断错误会影响患者的治疗结果.
- 护士在诊断过程中至关重要.
- 患者对诊断准确性和沟通的看法是安全的关键.
研究的目的:
- 确定影响患者对ED诊断质量认知的因素.
- 支持护理倡议,以提高患者安全.
- 利用患者报告的仪器来衡量急诊部门的诊断卓越性 (PRIMEDEs).
主要方法:
- 在参观后30天内对454名ED患者进行横截面调查.
- 利用电子健康记录消息平台进行调查分发.
- 17项PRIMEDEs调查测量了诊断经验,准确性和沟通.
主要成果:
- 女性报告诊断经验得分低于男性 (P = .003).
- 年长的成年人 (70-79岁) 报告PRIMEDEs得分高于年轻的参与者 (P<.03).
- 长时间的ED停留与较低的感知诊断卓越度相关 (P<.05).
结论:
- 诊断感知存在差异,特别是在女性和年轻患者中.
- 这些群体的满意度较低与诊断沟通有关.
- 加强护理沟通可以提高患者的理解和安全,特别是在延长ED停留期间.
相关概念视频
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Patient-centered Care
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...
Documentation of Nursing Diagnosis
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
The Scientific Method in Nursing Process
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be safely...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be safely...
Sputum Studies II: Culture and Sensitivity
Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...

