Digby Robin, Bloomer Melissa, Howard Teresa
Mornington Centre, Peninsula Health, Melbourne, Australia.
Nurs Older People. 2011 Jul;23(6):22-7. doi: 10.7748/nop2011.07.23.6.22.c8586.
To explore and compare call bell response times in two wards in a geriatric evaluation and management facility before and after the introduction of a suite of interventions aimed at decreasing patient falls.
Data on call bell response times were collected over two periods. The first were before implementation of falls prevention initiatives. Data were retrieved from the call bell system that detailed the time taken to respond to every call bell activation. A second period of data collection was conducted six months after implementation of the initiatives.
Prioritising call bell response and raising staff awareness improved response to patient calls. There was a slight decrease in falls although call bell activations did not decrease.
Strong leadership is necessary from nurse managers to stress the importance of prompt call bell response. Visual surveillance of high-risk fallers is important as they are generally unable to ring for assistance when required.
在一家老年评估与管理机构的两个病房中,探索并比较在引入一系列旨在减少患者跌倒的干预措施前后呼叫铃响应时间。
在两个时间段收集呼叫铃响应时间的数据。第一个时间段是在实施跌倒预防措施之前。数据从呼叫铃系统中检索,该系统详细记录了对每次呼叫铃激活的响应时间。在措施实施六个月后进行了第二个数据收集期。
优先处理呼叫铃响应并提高工作人员的意识改善了对患者呼叫的响应。跌倒略有减少,尽管呼叫铃激活次数并未减少。
护士长必须发挥强有力的领导作用,强调及时响应呼叫铃的重要性。对高风险跌倒者进行视觉监测很重要,因为他们通常在需要时无法按铃求助。