Couilliot Marie-France, Vassy Carine, Leboul Danièle
Hopitaux universitaires Paris-Seine-Saint-Denis, Universite Paris, Bobigny Cedex, France.
Sante Publique. 2011 Jul-Aug;23(4):269-78.
A significant number of seriously ill patients die in French emergency departments. A qualitative study of the care of end of life patients in two emergency departments in teaching hospitals was conducted to analyze the work of practitioners. Organizational and funding constraints exert a significant influence on the quality of care, which in some cases may become inconsistent and cause tensions among staff. These issues are largely the result of contradictions between the temporal characteristics of some deaths and work organization. This paper offers a number of suggestions for improving the care of end of life patients in emergency departments.
大量重症患者在法国急诊科死亡。针对教学医院两个急诊科临终患者护理情况开展了一项定性研究,以分析从业者的工作。组织和资金方面的限制对护理质量产生了重大影响,在某些情况下,护理质量可能变得不稳定,并在工作人员之间引发紧张关系。这些问题很大程度上是某些死亡的时间特征与工作组织之间矛盾的结果。本文就改善急诊科临终患者护理提出了一些建议。