Ford M L, Lake L R
Aviat Space Environ Med. 1979 Mar;50(3):284-9.
Because of JCAH requirements and nursing's progression toward self-evaluation, most fixed facilities have established audit systems to determine the effectiveness of nursing intervention. Due to the transient nature of the Aeromedical Evacuation System, there was no method of evaluating the patient's care inflight. Many obstacles had to be overcome in establishing a method of evaluation; and these problems are discussed by the researchers. A pilot project was formulated to determine the validity of our audit tool. Then, 99 patients' charts were audited over a four-month period. From this data, many deficiencies in the continuity of patient care and the patient's lack of understanding concerning our system became evident. The implications of this study are far reaching and will lead to further research in the future. By disseminating these results to various hospitals, we hope to see significant improvement in patient preparation in the near future.
由于联合委员会认证要求(JCAH)以及护理向自我评估的发展,大多数固定设施已建立审核系统以确定护理干预的有效性。由于航空医疗后送系统的临时性,没有办法评估飞行途中患者的护理情况。在建立评估方法时必须克服许多障碍;研究人员讨论了这些问题。制定了一个试点项目来确定我们审核工具的有效性。然后,在四个月的时间里对99份患者病历进行了审核。从这些数据中,患者护理连续性方面的许多不足以及患者对我们系统缺乏了解变得明显。这项研究的影响深远,将在未来引发进一步的研究。通过将这些结果传播到各个医院,我们希望在不久的将来看到患者准备工作有显著改善。