实施床边儿科早期预警系统（BedsidePEWS），用于护士识别病情恶化的患者。
Implementation of the Bedside Paediatric Early Warning System (BedsidePEWS) for nurse identification of deteriorating patients.
作者信息
Kaul Molly, Snethen Julia, Kelber Sheryl T, Zimmanck Kim, Maletta Kristin, Meyer Michael
机构信息
Children's Hospital of Wisconsin, Wauwatosa, Wisconsin, USA.
出版信息
J Spec Pediatr Nurs. 2014 Oct;19(4):339-49. doi: 10.1111/jspn.12092.
PURPOSE
The purpose was to explore nurses' and physicians' recognition of signs of deterioration and management of symptoms.
DESIGN AND METHODS
This descriptive, cross-sectional study used an electronic survey with 35 nurses and 17 physicians.
RESULTS
Nurses using the Bedside Paediatric Early Warning System (BedsidePEWS) were significantly more likely to recognize risk for deterioration and respond with appropriate interventions. Physicians incorporating BedsidePEWS were more likely to choose reliable indicators of deterioration and reported significantly more effective communication from nurses to identify deterioration.
PRACTICE IMPLICATIONS
BedsidePEWS may improve nurses' and physicians' abilities to recognize early signs of patient deterioration, communicate findings to providers, and plan interventions.
目的
本研究旨在探讨护士和医生对病情恶化迹象的识别以及症状管理情况。
设计与方法
本描述性横断面研究采用电子调查问卷，调查对象为35名护士和17名医生。
结果
使用床边儿科早期预警系统（BedsidePEWS）的护士更有可能识别病情恶化风险并采取适当干预措施。采用BedsidePEWS的医生更有可能选择可靠的病情恶化指标，并且报告称护士在识别病情恶化方面的沟通显著更有效。
实践意义
床边儿科早期预警系统（BedsidePEWS）可能会提高护士和医生识别患者早期病情恶化迹象、将检查结果告知医疗服务人员以及规划干预措施的能力。
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