通过定制化教育减少可避免的急诊科就诊人次。
Reducing avoidable emergency department attendances through bespoke education.
作者信息
Graham Elizabeth, Campbell Sadie
机构信息
Northern Health and Social Care Trust, Antrim Hospital Complex, Northern Ireland.
出版信息
Nurs Older People. 2017 Nov 30;29(10):32-38. doi: 10.7748/nop.2017.e973.
AIM
To develop an education and partnership programme between the trust and nursing home staff in Northern Ireland.
METHODS
Twenty care home nurse champions participated in a bespoke Responsive Education and Collaborative Health programme provided by the trust. The trust's practice development facilitator supported care home staff to develop clinical competencies while observing residents' emergency department (ED) attendance trends.
RESULTS
After introduction of the programme, avoidable ED attendances were reduced by 31% ( n =309) compared with the previous year, cost per capita was reduced by £314,340, reliance on community nursing was reduced, and the health and experience of the care home population were improved.
CONCLUSION
ED attendances and reliance on community nursing reduced, identifying a compelling need for continuing partnership, training and facilitation between the trust and independent sector.
目的
在北爱尔兰的信托机构与养老院工作人员之间开展一项教育与合作项目。
方法
20名养老院护士代表参加了由该信托机构提供的定制化响应式教育与合作健康项目。该信托机构的实践发展促进者支持养老院工作人员培养临床能力，同时观察居民的急诊科就诊趋势。
结果
该项目实施后，与上一年相比，可避免的急诊科就诊人数减少了31%（n = 309），人均成本降低了314,340英镑，对社区护理的依赖减少，养老院居民的健康状况和体验得到改善。
结论
急诊科就诊人数和对社区护理的依赖减少，表明信托机构与独立部门之间迫切需要持续的合作、培训和促进。
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