Jones Dennis W
University of Maryland School of Nursing, Baltimore, MD, USA.
Adv Emerg Nurs J. 2012 Jul-Sep;34(3):238-49. doi: 10.1097/TME.0b013e31825f42ff.
Morbidly obese patients present safe patient handling challenges to emergency department (ED) personnel. Emergency departments are often ill-equipped to safely manage the patient of this size. The purpose of this study was to develop an assessment tool to determine ED readiness to safely manage the morbidly obese patient. Published guidelines by the Facility Guidelines Institute and the National Association of Bariatric Nurses were used for tool development. The tool assesses policy, equipment, space/structural requirements, and patient handling and -moving tasks. A 2-phase, nonexperimental, exploratory study in a convenience sample of 5 EDs was conducted, applying a usability testing model to determine the usability and utility of the tool. Four of 5 hospital EDs agreed that the tool was easy to use and helpful in determining their readiness to safely manage the morbidly obese patient. The tool was found to be usable on a limited basis. Additional application of the tool on a larger scale is recommended.
病态肥胖患者给急诊科工作人员带来了安全搬运患者的挑战。急诊科往往设备不足，难以安全地处理这种体型的患者。本研究的目的是开发一种评估工具，以确定急诊科安全处理病态肥胖患者的准备情况。工具开发采用了设施指南研究所和国家肥胖症护士协会发布的指南。该工具评估政策、设备、空间/结构要求以及患者搬运和移动任务。在5个急诊科的便利样本中进行了一项两阶段的非实验性探索性研究，应用可用性测试模型来确定该工具的可用性和实用性。5家医院的急诊科中有4家认为该工具易于使用，有助于确定他们安全处理病态肥胖患者的准备情况。结果发现该工具在有限范围内可用。建议在更大范围内进一步应用该工具。
