关键词: Acute assessments decision support system home healthcare patient safety qualitative content analysis qualitative survey

Mesh : Humans Sweden Home Care Services Female Nurses Male Adult Middle Aged Surveys and Questionnaires Qualitative Research Clinical Competence Attitude of Health Personnel Patient Safety Nursing Assessment

来  源:   DOI:10.1080/17482631.2024.2373541

Abstract:
UNASSIGNED: The study aims to describe Swedish RNs\' experiences of acute assessments at home. More patients with complex nursing needs are cared for at home due to an ageing population. Registered nurses (RNs) who work with home healthcare need a broad medical competence and clinical experience alongside adapted decision support systems for maintaining patient safety in acute assessments within home healthcare.
UNASSIGNED: A content analysis of qualitative survey data from RNs (n = 19) working within home healthcare in Sweden.
UNASSIGNED: There were challenges in the acute assessments at home due to a lack of competence since several of the RNs did not have much experience working as an RN in home healthcare. Important information was missing about the patients, such as access to medical records due to organizational challenges and limited access to equipment and materials. The RNs needed support in the form of cooperation with a physician, support from colleagues, and a decision support system.
UNASSIGNED: To increase the possibility of patient-safe assessments at home, skills development, collegial support, and an adapted decision support system are needed. Collaboration with primary healthcare, on-call physicians, and nursing staff, and having the opportunity to consult with someone also provide security in acute assessments.
摘要:
该研究旨在描述瑞典RN在家中进行急性评估的经验。由于人口老龄化,更多有复杂护理需求的患者在家中得到照顾。与家庭医疗保健一起工作的注册护士(RN)需要广泛的医疗能力和临床经验,以及适应的决策支持系统,以在家庭医疗保健中的急性评估中维护患者安全。
对来自瑞典家庭医疗保健工作的RNs(n=19)的定性调查数据的内容分析。
由于缺乏能力,在国内进行急性评估时面临挑战,因为一些RN在家庭医疗保健中没有太多的RN工作经验。关于病人的重要信息丢失了,例如,由于组织挑战而导致的医疗记录的访问以及对设备和材料的访问有限。RN需要与医生合作的形式的支持,同事的支持,和决策支持系统。
为了增加在家中进行患者安全评估的可能性,技能发展,大学支持,需要一个适应的决策支持系统。与初级医疗保健的合作,待命医生,和护理人员,并且有机会与某人协商也可以在急性评估中提供安全性。
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