关键词: Emergency Medical Services Emergency department Handover Healthcare professionals Person-centred

Mesh : Humans Patient Handoff / standards Emergency Service, Hospital / organization & administration Patient-Centered Care Concept Formation Communication Continuity of Patient Care / standards

来  源:   DOI:10.1016/j.ienj.2024.101446

Abstract:
BACKGROUND: Transfer of patients from the prehospital to the in-hospital environment is a frequent occurrence requiring a handover process. Habitually, emergency care practitioners and healthcare professionals focus on patient care activities, not prioritising person-centred handover practices and not initiating person-centred care.
OBJECTIVE: The aim of this concept analysis was to define the concept person centred handover practices.
METHODS: The eight steps for Walker and Avant\'s method of concept analysis.
RESULTS: Thirty-one articles were included for final review including qualitative and quantitative studies, literature reviews and audits. This concept analysis guided the development of an concept definition of person-centred handover practices between emergency care practitioners and healthcare professionals in the emergency department as person- centred handover practices are those handovers being performed while including all identified defining attributes such as structure, verbal, and written information transfer, interprofessional process, inclusion of the patient and/ or family, occurs at the bedside, without interruption.
CONCLUSIONS: Results suggested that person-centred handover practices involve verbal and non- verbal interprofessional communication within a specific location in the emergency department. It requires mutual respect from all professionals involved, experience and training, and the participation of the patient and / or family to improve patient outcomes and quality patient care. A definition for the concept may encourage the implementation of person-centred handover practices in emergency departments.
摘要:
背景:将患者从院前转移到住院环境是经常发生的,需要移交过程。习惯上,紧急护理从业人员和医疗保健专业人员专注于患者护理活动,不优先考虑以人为本的移交实践,也不启动以人为本的护理。
目的:本概念分析的目的是定义以人员为中心的交接实践这一概念。
方法:Walker和Avant的概念分析方法的八个步骤。
结果:纳入了31篇文章进行最终审查,包括定性和定量研究,文献综述和审计。本概念分析指导了急诊科急诊护理从业人员和医疗保健专业人员之间以人为本的交接实践的概念定义,因为以人为中心的交接实践是那些正在执行的交接实践,同时包括所有已确定的定义属性,例如结构。口头,和书面信息传递,跨专业过程,包括患者和/或家属,发生在床边,没有中断。
结论:结果表明,以人为中心的交接实践涉及急诊科特定地点的口头和非口头的职业间沟通。这需要所有相关专业人员的相互尊重,经验和培训,以及患者和/或家属的参与,以改善患者预后和患者护理质量。该概念的定义可能会鼓励在紧急部门实施以人为本的移交做法。
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