适应行动布住院息护理多因素检查清单 (AAFPC):兰德-UCLA共识研究
Fran Allen1, Trudi Cameron1, Pip Logan1,2
1School of Medicine, University of Nottingham, Nottingham, UK.
Journal of palliative care
|February 20, 2026
概括
跌倒是住院住院医院的一个主要问题. 研究人员将行动布计划的检查清单适用于宿舍患者,创建了一个专门的工具,用于在息护理环境中预防跌倒.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年学是一门学科.
- 患者安全 患者安全
背景情况:
- 跌倒在住院治疗中带来了重大风险,影响了患者的福祉和护理时间.
- 现有的防摔工具需要根据息护理患者的独特需求进行调整.
- 行动布计划在养老院是有效的,但需要修改为宿舍设置.
研究的目的:
- 调整和完善"行动布"检查清单,用于住院医院.
- 为了在与宿舍患者相关的风险和行动项目上达成专家共识.
- 开发一个临终关怀的特定的防摔工具.
主要方法:
- 使用了经过修改的RAND/UCLA适当性方法.
- 进行了三轮代的专家审查,涉及14名临终关怀专业人员.
- 通过利克特评分,在线焦点小组和最终调查达成共识.
主要成果:
- 开发了一个临终关怀专用检查清单,包含21个风险项目和34个行动.
- 关键的调整包括修订了秋季历史时间框架,并专注于饮水而不是营养.
- 以患者为中心的因素,如疲劳和禁欲,被整合到修订后的行动中.
结论:
- 行动布检查清单可以适应住院临终关怀机构.
- 调整后的检查清单反映了息治疗患者的具体需求.
- 修订后的检查清单已经准备好进行可行性测试,以评估其在减少落方面的有效性.
相关概念视频
Planning Nursing Care I
6.1K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
6.1K
Acute Coronary Syndrome IV: Interprofessional Care
318
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
318
Chronic Obstructive Pulmonary Disease-V: Nursing Management
5.3K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
5.3K
Heart Failure VI: Adjunct Therapies
430
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
430
Heart Failure VII: Nursing Interventions
573
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
573
Methods of Documentation VI: Case Management Model
974
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
974


