长期护理住院病人病情恶化早期发现的护理实践:一项定性研究

IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Hirofumi Ogawara, Hiroki Fukahori, Yuriko Mashida, Sachiko Matsumoto, Katsumi Nasu, Ardith Z Doorenbos
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引用次数: 0

摘要

在长期护理(LTC)设施中,护士通过多学科合作在发现居民健康状况变化和防止可避免的紧急转移和住院方面发挥关键作用。本研究旨在探讨护士如何察觉长期住院病人病情恶化的变化。方法采用半结构化访谈法对来自14家LTC机构的23名护士进行访谈。这些访谈的数据使用编码和恒定比较方法进行定性分析。结果“准备”、“评估”和“判断”三个主要类别。护士与护理人员密切合作,护理人员与住院病人相处的时间相当长,通过信息共享,护士可以迅速对住院病人病情的变化做出反应。他们还通过利用他们的临床经验来评估居民经历变化的风险。结论本研究发现,护理人员应与护理人员合作,提高护理人员的健康评估技能,使护理人员能够及时发现住院病人状况的变化。本研究结果可用于促进护士和护理工作者之间的合作,并制定有效的教育干预措施,以改善LTC设施的护理实践。本研究强调了护士识别LTC患者早期病情恶化能力的必要性。研究结果揭示了护士在评估时应优先考虑的关键症状和警告信号。通过利用临床经验和密切观察,护士可以及时有效地做出决策,以应对居民的健康变化,防止进一步恶化,提高他们的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Practice for Early Detection of Long-Term Care Resident Deterioration: A Qualitative Study

Introduction

In long-term care (LTC) facilities, nurses play a key role in detecting changes in residents' health conditions and preventing avoidable emergency transfers and hospitalisations through multidisciplinary collaboration. This study aimed to explore how nurses detect changes that indicate the deterioration in LTC residents' conditions.

Methods

Semi-structured interviews were conducted with 23 nurses from 14 LTC facilities. Data from these interviews were qualitatively analysed using coding and constant comparison methods.

Results

The three main categories were ‘preparing’, ‘assessing’ and ‘judging’. Nurses worked closely with care workers who spent a considerable amount of time with the residents, and by sharing information, the nurses could rapidly respond to changes in the residents' conditions. They also evaluated the risk of residents experiencing changes by leveraging their clinical experience.

Conclusion

This study found that LTC nurses should collaborate with care workers to enhance their health assessment skills, enabling them to detect changes in residents' conditions. Findings from this study can be used to promote collaboration between nurses and care workers and to develop effective educational interventions to improve nursing practice in LTC facilities.

Implications for Practice

This study underscores the necessity of nurses' ability to identify early deterioration in LTC residents. The findings reveal key symptoms and warning signs that nurses should prioritize in their assessments. By leveraging clinical experience and close observation, nurses can make timely and effective decisions to address residents' health changes, preventing further deterioration and enhancing their quality of life.

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来源期刊
CiteScore
3.60
自引率
9.10%
发文量
77
期刊介绍: International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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