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出院计划流程:应用循证实践模型

Discharge planning process: applying a model for evidence-based practice.

作者信息

Maramba Patricia J, Richards Samantha, Myers Amy L, Larrabee June H

机构信息

West Virginia University Hospitals, School of Nursing, Morgantown, WV, USA.

出版信息

J Nurs Care Qual. 2004 Apr-Jun;19(2):123-9. doi: 10.1097/00001786-200404000-00009.

DOI:10.1097/00001786-200404000-00009
PMID:15077829
Abstract

Discharge planning is an integral but ill-defined process in most acute care settings. The time available to a healthcare team to adequately prepare patients for discharge has virtually evaporated with decreasing lengths of hospital stay. A research utilization (RU) team at a tertiary care teaching institution reviewed the literature from 1990 to 2002 in search of a research-based practice regarding staff nurses' roles in the discharge process. Review of the literature revealed varied discharge planning processes using staff nurses, advanced practice nurses, or case managers specifically prepared to implement the discharge planning process. Insufficient evidence was found to support a change from the current staff nurse practice.

摘要

在大多数急症护理环境中,出院计划是一个不可或缺但却定义模糊的过程。随着住院时间的缩短,医疗团队为患者做好充分出院准备的可用时间实际上已消失殆尽。一所三级护理教学机构的研究应用(RU)团队回顾了1990年至2002年的文献,以寻找基于研究的关于 staff nurses 在出院过程中角色的实践方法。文献回顾显示,使用 staff nurses、高级执业护士或专门准备实施出院计划流程的个案管理员存在多种出院计划流程。但未发现足够证据支持改变当前 staff nurse 的做法。

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