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辅助心脏分诊干预提高护士心脏分诊决策的可行性和实用性。

The feasibility and utility of the aid to cardiac triage intervention to improve nurses' cardiac triage decisions.

机构信息

University of Michigan, School of Nursing, Ann Arbor, Michigan 48109, USA.

出版信息

Heart Lung. 2010 May-Jun;39(3):201-7. doi: 10.1016/j.hrtlng.2009.08.004. Epub 2009 Nov 20.

Abstract

BACKGROUND

Despite the benefits of prompt treatment of myocardial infarction, gender disparities exist in emergency department (ED) nurses' cardiac triage decisions.

OBJECTIVE

To determine the feasibility and utility of the aid to cardiac triage (ACT) intervention designed to improve ED nurses' cardiac triage decisions for women with myocardial infarction.

METHODS

A prospective, exploratory design was used. To determine feasibility, we evaluated the 1-hour time allocated for the intervention and ED nurses' participation rates. Twenty-three participants completed a utility questionnaire at the completion of the 1-hour intervention, and 18 participants completed the questionnaire 3 months post-intervention.

RESULTS

The ACT intervention was delivered within 30 to 40 minutes, allowing 20 minutes for questions and discussion. ED nurses viewed the ACT intervention as a useful, helpful, and practical tool for improving their cardiac triage decisions at both intervention completion and 3 months later.

CONCLUSION

The evaluation supports the feasibility and utility of the ACT intervention.

摘要

背景

尽管心肌梗死的及时治疗有诸多益处,但在急诊科护士的心脏分诊决策中仍存在性别差异。

目的

旨在确定 aid to cardiac triage (ACT) 干预措施在改善急诊科护士对心肌梗死女性患者的心脏分诊决策方面的可行性和实用性。

方法

采用前瞻性探索性设计。为了确定可行性,我们评估了干预措施分配的 1 小时时间和急诊科护士的参与率。23 名参与者在 1 小时干预结束时完成了一份效用问卷,18 名参与者在干预 3 个月后完成了问卷。

结果

ACT 干预措施在 30 到 40 分钟内完成,留出 20 分钟用于提问和讨论。急诊科护士认为 ACT 干预措施在干预完成时和 3 个月后均有助于提高他们的心脏分诊决策,是一种有用、有益且实用的工具。

结论

评估结果支持 ACT 干预措施的可行性和实用性。

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