Department of Nursing and Midwifery, University of the West of England, Bristol BS16 1DD, UK.
J Nurs Manag. 2010 Jul;18(5):548-55. doi: 10.1111/j.1365-2834.2010.01086.x.
To examine the contribution of the Healthcare Assistant (HCA) as the recogniser, responder and recorder of acutely ill patients within the general ward setting.
Concerns have been highlighted regarding the recognition and management of the acutely ill patient within the general ward setting. The contribution of the HCA role to this process has been given limited attention.
A postal survey of HCAs was piloted and conducted within two district general hospitals. Open and closed questions were used.
Results suggest that on a regular basis HCAs are caring for acutely ill patients. Contextual issues and inaccuracies in some aspects of patient assessment were highlighted. It would appear normal communication channels and hierarchies were bypassed when patients' safety was of concern. Educational needs were identified including scenario-based learning and the importance of ensuring mandatory training is current.
HCAs play a significant role in the detection and monitoring of acutely ill patients. Acknowledgement is needed of the contextual factors in the general ward setting which may influence the quality of this process. The educational needs identified by this study can assist managers to improve clinical supervision and educational input in order to improve the quality of care for acutely ill patients.
探讨医疗助理（HCA）在普通病房环境中作为急性病患者的识别者、应对者和记录者的作用。
人们对普通病房环境中急性病患者的识别和管理表示关注，但 HCA 角色在这一过程中的作用却没有得到足够的重视。
在两家地区综合医院对 HCA 进行了试点和邮寄调查。使用了开放式和封闭式问题。
结果表明，HCA 经常护理急性病患者。在病人评估的某些方面存在着背景问题和不准确性。当病人的安全受到关注时，似乎会绕过正常的沟通渠道和等级制度。确定了教育需求，包括基于情景的学习以及确保强制性培训是最新的重要性。
HCA 在检测和监测急性病患者方面发挥着重要作用。需要认识到普通病房环境中的背景因素可能会影响这一过程的质量。本研究确定的教育需求可以帮助管理人员改善临床监督和教育投入，以提高对急性病患者的护理质量。
