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患者参与医院跌倒预防

Patient Engagement in Hospital Fall Prevention.

作者信息

Tzeng Huey-Ming, Yin Chang-Yi

出版信息

Nurs Econ. 2015 Nov-Dec;33(6):326-34.

Abstract

Injurious falls are the most prevalent in-hospital adverse event, and hospitalized patients are at a greater risk of falling than the general population. Patient engagement in hospital fall prevention could be a possible approach to reducing falls and fall-related injuries. To engage patients, bedside nursing staff must first understand the concept of patient centeredness and then incorporate patient centeredness in clinical practice. Clinicians should move from being experts to being enablers. To conceptualize the knowledge gaps identified, a conceptual model was developed to guide future research and quality improvement efforts in hospital settings. This model could be used as a guide to advance nursing leadership in hospital fall prevention via promoting patient engagement (e.g., developing patient-centered fall prevention interventions with patients' input).

摘要

伤害性跌倒在医院不良事件中最为常见,住院患者跌倒的风险高于普通人群。患者参与医院跌倒预防可能是减少跌倒及跌倒相关伤害的一种可行方法。为使患者参与其中,床边护理人员必须首先理解以患者为中心的理念,然后将其纳入临床实践。临床医生应从专家转变为促进者。为了梳理出已识别的知识差距,开发了一个概念模型,以指导医院环境中的未来研究和质量改进工作。该模型可作为通过促进患者参与(例如,在患者参与下制定以患者为中心的跌倒预防干预措施)来提升医院跌倒预防护理领导力的指南。

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