护士和医生对在两家医院使用的患者、家属和探视者激活快速反应系统的看法

IF 2.3 Q2 HEALTH CARE SCIENCES & SERVICES
Lindy King PhD (is Academic Status and Web Supervisor, College of Nursing and Health Sciences, Flinders University Adelaide, South Australia, Australia.), Stanislav Minyaev BN (Hons) (is Associate Lecturer, College of Nursing and Health Sciences, Flinders University.), Hugh Grantham MBBS (is Adjunct Professor, Flinders Medical Centre/ School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia.), Robyn A. Clark PhD (is Professor and Senior Clinician, College of Nursing and Health Sciences, Caring Futures Institute, Flinders University. Please address correspondence to Lindy King)
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引用次数: 0

摘要

背景及早发现住院病人的病情恶化并及时采取干预措施可改善住院效果。熟悉病人病情的病人、家属和床边探视者(消费者)在早期发现病人病情恶化方面起着至关重要的作用。作者试图了解临床医生对消费者通过已建立的由医院消费者发起的护理升级系统报告患者病情恶化的看法。方法:对南澳大利亚州两家医院的新毕业到高级护士和医生进行抽样调查,调查内容包括六个开放式问题。结果 共有 244 名临床医生--198 名护士和 46 名医生--提供了他们对消费者发起的护理升级系统的看法。回答中出现了六大主题和次主题,分别是:(1)临床医生支持消费者报告,并认为消费者是及早发现病情恶化并提出相关问题的理想人选;(2)消费者上报流程要想有效,需要管理层的支持;(3)消费者上报可能会增加或减少临床医生的工作量;(4)对消费者和员工进行上报规程教育是成功的必要条件;(5)需要树立消费者敢于直言的信心;(6)需要解决消费者上报的障碍。结论 临床医生支持消费者作为患者病情恶化的第一报告人。与患者进行互动、鼓励性沟通的技巧被认为是至关重要的。此外,还建议临床医生每年对消费者报告病情恶化的情况进行更新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Opinions of Nurses and Physicians on a Patient, Family, and Visitor Activated Rapid Response System in Use Across Two Hospital Settings

Background

Early detection of deterioration of hospitalized patients with timely intervention improves outcomes in the hospital. Patients, family members, and visitors (consumers) at the patient's bedside who are familiar with the patient's condition may play a critical role in detecting early patient deterioration. The authors sought to understand clinicians’ views on consumer reporting of patient deterioration through an established hospital consumer-initiated escalation-of-care system.

Methods

A convenience sample of new graduate-level to senior-level nurses and physicians from two hospitals in South Australia was administered a paper survey containing six open-ended questions. Data were analyzed with a matrix-style framework and six steps of thematic analysis.

Results

A total of 244 clinicians—198 nurses and 46 physicians—provided their views on the consumer-initiated escalation-of-care system. Six major themes and subthemes emerged from the responses indicating that (1) clinicians were supportive of consumer reporting and felt that consumers were ideally positioned to recognize deterioration early and raise concerns about it; (2) management support was required for consumer escalation processes to be effective; (3) clinicians’ workload could possibly increase or decrease from consumer escalation; (4) education of consumers and staff on escalation protocol is a requirement for success; (5) there is need to build consumer confidence to speak up; and (6) there is a need to address barriers to consumer escalation.

Conclusion

Clinicians were supportive of consumers acting as first reporters of patient deterioration. Use of interactive, encouraging communication skills with consumers was recognized as critical. Annual updating of clinicians on consumer reporting of deterioration was also recommended.

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来源期刊
CiteScore
3.80
自引率
4.30%
发文量
116
审稿时长
49 days
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