The Department of Elderly and Disabled, Odense Municipality, Odense, Denmark.
Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
Scand J Prim Health Care. 2021 Jun;39(2):194-203. doi: 10.1080/02813432.2021.1913903. Epub 2021 Apr 29.
Strengthening primary healthcare with highly qualified nurses in acute care units or teams is a new Danish initiative intended to detect acute diseases and the deterioration of chronic diseases and to develop treatment for outpatients. This study explores healthcare professionals' experiences with this initiative.
Qualitative semi-structured interviews conducted in 2019-2020. Analysis was conducted with a systematic text condensation.
This study is based on an acute care team in one Danish municipality called Acute Team Odense (ATO). ATO delivers acute nursing in patients' own homes (including nursing homes) in collaboration with different healthcare professionals.
Individual interviews with general practitioners (GPs) ( = 15), five focus-group interviews with nurses and nursing assistants from the municipality ( = 19) and one focus-group interview with staff from the emergency department (ED) ( = 10).
Experiences of different healthcare professionals' experiences with ATO.
In general, all of the participants were very satisfied with the new acute care team and the cross-sectorial possibilities. The GPs usually referred ATO to assessments in which paraclinical equipment, competencies, accessibility, response time and communication were important. The municipal nurses and nursing assistants tended to use ATO if they needed second opinions or acute nurse assistance. The ED most often used ATO to assist with intravenous therapy after an ED visit. All participants reported that ATO increased what could be assessed and treated in patients' homes, which is central to preventing unnecessary hospitalisations.
ATO created new possibilities in patient's homes which potentially might prevent unnecessary hospitalisations.KEY POINTSAcute care units or teams are mandatory in Danish health care, but limited knowledge in the area is found.Healthcare professionals found that the acute care teams provided new possibilities to assess and treat patients in their own homes.Healthcare professionals experienced that the acute care team potentially prevented hospitalisations by fast clinical nurse assessments with paraclinical tests.
在急症护理单元或团队中加强具备高度资质的护士，是丹麦的一项新举措，旨在发现急性疾病和慢性病的恶化情况，并为门诊患者制定治疗方案。本研究探讨了医疗保健专业人员对此项举措的经验。
2019-2020 年进行的定性半结构式访谈。采用系统文本凝结进行分析。
本研究基于丹麦奥登塞市的一个急症护理团队，称为奥登塞急症护理团队（ATO）。ATO 与不同的医疗保健专业人员合作，在患者自己的家中（包括养老院）提供急症护理。
全科医生（GPs）的个人访谈（ = 15）、来自该市的护士和护理助理的 5 次焦点小组访谈（ = 19）和急诊部（ED）的工作人员的 1 次焦点小组访谈（ = 10）。
不同医疗保健专业人员对 ATO 的经验。
总的来说，所有参与者都对新的急症护理团队和跨部门的可能性非常满意。全科医生通常将 ATO 用于评估，其中包括辅助检查、能力、可及性、反应时间和沟通等方面。市立护士和护理助理在需要第二意见或急症护士协助时，往往会使用 ATO。ED 最常使用 ATO 在 ED 就诊后协助静脉治疗。所有参与者都报告说，ATO 增加了可以在患者家中评估和治疗的内容，这对于预防不必要的住院治疗至关重要。
ATO 在患者家中创造了新的可能性，可能预防不必要的住院治疗。
丹麦的医疗保健中必须配备急症护理单元或团队，但在该领域的知识有限。医疗保健专业人员发现，急症护理团队为在患者家中评估和治疗患者提供了新的可能性。医疗保健专业人员认为，通过快速的临床护士评估和辅助检查，急性护理团队有可能避免住院治疗。
