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护士能力:在院前急救中具有优势吗?

Nurse competence: advantageous in pre-hospital emergency care?

作者信息

Suserud B O, Haljamäe H

机构信息

University of Borås, School of Health Sciences, Sweden.

出版信息

Accid Emerg Nurs. 1999 Jan;7(1):18-25. doi: 10.1016/s0965-2302(99)80096-4.

DOI:10.1016/s0965-2302(99)80096-4
PMID:10232109
Abstract

Aspects of the organization and function of pre-hospital emergency care services in western Sweden were assessed by interviewing physicians (n = 20) with administrative (n = 10) or/and active (n = 10) roles in the pre-hospital emergency care field. The data obtained indicate that although the present standard of care is acceptable, there is an obvious need for a more effective organization and the personnel involved should have a higher competence level. Ambulance personnel were not considered to have a high enough competence level. Therefore, a need for more nurses, preferably anaesthesia or intensive care nurses, was expressed. An awareness of the importance of research was noted among the physicians responsible for the services, and the research capability of nurses, along with their general competence in emergency medical service related problems, was considered an important argument for involving more nurses in pre-hospital emergency care. It was thought that by such an approach, a more scientific basis for assessing the efficacy of pre-hospital emergency care could be achieved.

摘要

通过采访在瑞典西部院前急救服务领域担任行政职务(n = 10)或/和一线工作(n = 10)的医生(n = 20),对该地区院前急救服务的组织和功能方面进行了评估。所获得的数据表明,尽管目前的护理标准是可以接受的,但显然需要一个更有效的组织,而且相关人员应具备更高的能力水平。救护人员的能力水平被认为不够高。因此,有人表示需要更多护士,最好是麻醉或重症监护护士。负责这些服务的医生们认识到研究的重要性,并且认为护士的研究能力以及他们在紧急医疗服务相关问题上的总体能力,是让更多护士参与院前急救的一个重要理由。人们认为,通过这种方式,可以为评估院前急救的效果建立更科学的基础。

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引用本文的文献

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The encounter with the unknown: Nurses lived experiences of their responsibility for the care of the patient in the Swedish ambulance service.遭遇未知:瑞典救护服务中护士对患者护理责任的体验
Int J Qual Stud Health Well-being. 2010 Mar 22;5(2). doi: 10.3402/qhw.v5i2.5098.
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Flight nursing expertise: towards a middle-range theory.飞行护理专业知识:迈向中观理论。
J Adv Nurs. 2010 May;66(5):1183-92. doi: 10.1111/j.1365-2648.2010.05269.x. Epub 2010 Mar 22.
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Towards primary care for non-serious 999 callers: results of a controlled study of "Treat and Refer" protocols for ambulance crews.
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Qual Saf Health Care. 2004 Dec;13(6):435-43. doi: 10.1136/qhc.13.6.435.