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[向护士汇报患者入院情况。一种具体的协调方法]

[Report to nurses about a patient admission. A specific method of coordination].

作者信息

Martínez Riera J R

机构信息

Conselleria de Sanitat de la Generalitat Valenciana, Alicante.

出版信息

Rev Enferm. 1999 Feb;22(2):133-9.

PMID:10446609
Abstract

The need to have an adequate and efficient continuity regarding each patient's treatment is not questioned at present; however, this need, in many situations, continues to be a pending subject for the health care system in general and for different professional associations in particular. Nursing is not exempt from this problem and in fact there already have been instances of coordination which attempt to alleviate this problem such as through the emission of documents like the Nurses' Report for the Medical Release Certificate which allows professionals at both levels of attention, primary care and specialized, to maintain a set level of communication and information among themselves. Nevertheless, there still are no known instances about the establishment of a Report to Nurses Upon Admission of a Patient to a Unit; thus, we can state that an efficient two-way communication circuit has not yet been completed. The Report to Nurses Upon Admission of a Patient to a Unit is designed to be the method through which Specialized Care nurses obtain information about a patient who is admitted to their unit directly from the professional who has been caring for this patient until that moment, in other words, the Primary Health Care Unit nurse. As part of a ten year-old project to coordinate different health sections, this Report of Nurses Upon Admission of a Patient to a Unit is described in this article. This project has been implemented in Health Area Number 17 in the Valencia Autonomous Region. It is one of the methods which have been used to coordinate the relationship among nurses in primary health care centers and specialized units.

摘要

目前,对于每位患者治疗的充分性和有效性的连续性需求并无争议;然而,在许多情况下,这一需求对于整个医疗保健系统,尤其是不同的专业协会而言,仍是一个悬而未决的问题。护理也未能免于这一问题,事实上,已经有一些协调实例试图缓解这一问题,例如通过发放像《护士医疗出院证明报告》这样的文件,使初级保健和专科护理这两个层面的专业人员能够在彼此之间保持一定程度的沟通和信息共享。尽管如此,关于建立患者入院时给护士的报告这一情况仍未见报道;因此,我们可以说高效的双向沟通回路尚未形成。患者入院时给护士的报告旨在成为专科护理护士直接从在此之前一直护理该患者的专业人员(即初级卫生保健单位护士)那里获取有关入院患者信息的方法。作为一个协调不同卫生部门的十年项目的一部分,本文将介绍患者入院时给护士的这份报告。该项目已在巴伦西亚自治区第17卫生区实施。它是用于协调初级卫生保健中心和专科单位护士之间关系的方法之一。

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