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全科医生对急诊护理环境中高级执业护士撰写的出院小结的看法。

GPs' opinions of discharge summaries generated by advanced nurse practitioners in emergency care settings.

作者信息

Duignan Martin, Gibbons Lynda, O'Connor Laserina, Denning Ray, Honari Bahman, McKenna Kevin

机构信息

Emergency department, Our Lady's Hospital, Navan, Republic of Ireland.

Our Lady's Hospital, Navan, Republic of Ireland.

出版信息

Emerg Nurse. 2018 Nov 6;26(4):19-27. doi: 10.7748/en.2018.e1818. Epub 2018 Oct 6.

Abstract

AIM

Clinical handover at the point of discharge is critically important. It generally occurs through a written document, usually in the form of a discharge summary. Hospital discharge summaries contribute to continuity of care for patients who leave hospital and who may require care in the community provided by their GP. They must be accurate, valid, reliable, timely, legible and complete. The aim of this study was to investigate GPs' perceptions of the content of discharge summaries generated by emergency advanced nurse practitioners (EANPs).

METHOD

A cross-sectional descriptive survey design was used and a questionnaire was distributed to 120 GPs. Raw statistical data were analysed using SPSS v22 while the qualitative data from the open-ended questions were manually analysed.

FINDINGS

Most GPs were satisfied with the EANPs' discharge summary letters. However, this study supports previous papers that identified deficits in communication between secondary care and GPs.

CONCLUSION

There is a need to refine discharge summaries to create an enhanced structured discharge summary template that can be used by all disciplines.

摘要

目的

出院时的临床交接至关重要。通常通过书面文件进行,一般采用出院小结的形式。医院出院小结有助于为出院后可能需要全科医生在社区提供护理的患者提供持续护理。它们必须准确、有效、可靠、及时、清晰且完整。本研究的目的是调查全科医生对急诊高级护理从业者(EANP)生成的出院小结内容的看法。

方法

采用横断面描述性调查设计,向120名全科医生发放问卷。使用SPSS v22分析原始统计数据,同时对开放式问题的定性数据进行人工分析。

结果

大多数全科医生对急诊高级护理从业者的出院小结信感到满意。然而,本研究支持之前指出二级护理与全科医生之间沟通存在不足的论文。

结论

有必要完善出院小结,创建一个所有学科都可使用的强化结构化出院小结模板。

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