提高急诊护士急救能力与降低急诊抢救患者死亡率的相关性分析

目的 探讨提高急诊护士抢救能力与降低急诊抢救患者死亡率的相关性.方法 对我科室2013年和2014年急诊抢救的重点病种患者进行统计,与我院于2012年2月启动创建三级甲等医院以来,对我科急诊护士进行急救能力培训考核后的相关性进行分析.结果 培训考核后的急诊护士急救能力有较大提高,2014年与2013年相比急诊抢救重点病种人数升高,死亡患者人数下降.结论 提高急诊护士的急救综合能力,能降低急诊抢救患者的死亡率.     

提高疗养院护士综合能力的做法

疗养院护士临床操作机会少,而工作繁琐,承担着宾馆服务员、护士、导游等多种角色,压力大,强度高,致使部分护士存在安于现状、进取心不强等问题。我院护理部结合疗养院工作实际,自2007年以来,不断完善继续教育,强化业务技能考评,加强文化建设,有效地提高了护士的综合能力,全面提升了疗养院优质服务内涵。现报告如下。     

合同护士规范化培训的做法与体会

我院自2000年招聘合同护士以来，护理部针对合同护士的特点，以护理部培训与科室培训相结合，进行严格的规范化培训，为合同护士的成长创造了有利的条件，取得了较好的效果。     

急诊中分诊护士的素质与抢救效果

急诊室是抢救病人生命的重要场所之一，抢救质量的好坏直接关系到病人生命的存亡，随着急救医学的迅猛发展，对急救护理质量的要求更高了。笔者通过二十多年的急诊工作，体会到分珍护士的素质与抢救效果有着很大的关系。现谈谈几点看法。1应具有高度的急救意识和时间观念危重病人的到来就是抢救的命令，此时．时间就是生命，失去时间就可能将丧失病人的生命。分诊护！：应根据病情在短时间内（几分钟）进行迅速、准确的观检分诊，并及时通知字时医师与其一起进行积极的抢救，才能赢得他救时机。如一l”1诊病人家属来急诊室借州架抬胞癌病人…     

系统化培训在提高急诊护士抢救能力中的作用

目的 探讨系统化培训在提高急诊护士抢救急性心肌梗死病人配合能力中的效果.方法 选择我院急诊科工作的42名护士进行问卷调查,针对抢救中存在的问题,制定系统化培训计划,对38名急诊护士进行急性心肌梗死抢救程序培训,并对基本操作、基本技能、仪器设备等抢救能力进行强化训练,并把取得的效果和时间作为指标.结果 心电图检查、监护仪、除颤仪、2条静脉通道建立、5种抢救药品的选择进行训练前后对比,时间明显缩短(P＜0.01);对38名护士随机抽组,双人配合完成抢救程序时间前后对比,时间明显缩短(P＜0.01).结论 系统化培训可在短时间内提高护士抢救急性心肌梗死配合能力,使临床危重病人抢救赢得时间和机会.     

提高急诊科护士应急反应能力的做法

急诊科是接收、抢救急症危重患的窗口科室，是医院抢救患生命的重要阵地。急诊工作的任务是迅速判明病情，进行紧急处理，争分夺秒挽救患生命，为进一步治疗打下基础。急诊科护士则是抢救患的先锋，每一位患到急诊科后，首先接触到的就是护士，急诊科护士责任心的强弱、应急反应能力的快慢、业务素质的高低、抢救技术的熟练程度，都     

急诊护士在急诊抢救中的预见性护理思维

根据急救护理的自身规律及危重患的抢救特点，从正确、动态评估病情；恰当应用与科学管理抢救器材物品；合理、精确使用抢救药物和急诊护士自身素质培养4个方面探讨了预见性护理思维在急诊抢救中的重要性和必要性，说明了思维方式的正确应用在急诊抢救中起着关健作用。     

如何提高急诊护士的急救复苏能力

急诊是富有挑战性的工作，核心是护士对急危重病人的病情判断，正确掌握生命指征固然是重点之一，护士的急救能力也是不可忽略的。因此，对呼吸心跳骤停的病人给予呼吸和循环功能支持。积极采取措施配合抢救工作，挽救每个急危重病人是我们医务人员的天职与责任。     

提高急诊健康教育水平的做法和体会

健康教育是帮助人们改变不良的生活习惯，养成良好的行为和生活，以降低和消除影响健康的危险因素，使人们达到自理，并提高全民健康水平的一种最佳手段。随着现代医学护理的发展，护士服务观念的转变，为了更好的体现人性化的护理，健康教育正越来越受到重视，更是被广泛在临床各科室应用。但作为急诊这一流动的窗口，     

社区护士应对突发公共卫生事件救援能力评价指标的构建

目的 构建社区护士应对突发公共卫生事件救援能力评价指标.方法 基于文献研究、理论分析、质性访谈初步拟订评价指标,2020年8月—9月采用德尔菲法对20名专家进行2轮咨询,结合层次分析法和平均分配法计算各级指标权重.结果 2轮专家咨询的问卷回收率为90％、100％,有效率均为100％;专家权威系数均为0.866;专家意见...     

The ability of emergency nurses to detect simulated long bone fractures with portable ultrasound

Fractures are a common emergency department (ED) diagnosis. Ultrasound is a useful tool to evaluate for the presence of long bone fractures and can be performed by minimally trained individuals. We examined the ability of ED nurses to sonographically detect long bone fractures using a recently described training model. The fracture model consisted of a turkey long bone within a firm gelatin matrix. Emergency nurses examined five fracture models with a portable ultrasound machine to determine the presence or absence of a fracture. Overall accuracy was compared via chi-square analysis to the ability of physicians to complete the same assessment. Thirty nurses sonographically assessed the models. An overall sensitivity of 98% (95% confidence interval: 92–99%) and specificity of 93% (95% confidence interval: 76–99%) was observed for the detection of a fractured model. No difference in fracture detection accuracy (p > 0.05) was revealed compared to an evaluation by 30 ED physicians. While the clinical impact of this ability remains uncertain, future utilization of nursing ability to detect fractures by ultrasound may improve patient care in ways such as more efficient triaging of radiographs and the mobilization of resources for fracture reduction.     

The experience of general nurses in rural Australian emergency departments

Australia is a geographically unique country with large areas classed as rural. Nurses providing emergency care in rural hospitals face a number of challenges, with rural communities expecting multi-skilled nurses, prepared for a wide range of unannounced situations. Using a mixed method approach, involving questionnaires and focus groups, the study was undertaken in two rural health services in Victoria, Australia. The aim was to explore the experiences of general nurses working in rural hospital settings, with regards to their emergency department responsibilities. The findings indicate that nurses lacked confidence, which they attributed to the sporadic nature of working in the area and the diversity of people who presented. A resultant ‘skills rusting’ was described and nurses identified the need to be a diverse ‘specialist’. Some lack of confidence, particularly in the mental health area, was related to feelings of isolation and lack of context specific education and training. While some excellent emergency specific education and training is available for rural nurses, access is limited by a multitude of constraints. This study found there is an urgent need for local emergency education and training; with nurses showing a strong preference for ongoing professional development incorporating scenario based and context specific education.     

Influence of empathy and professional values on ethical decision-making of emergency nurses: A cross sectional study

IntroductionEmergency nurses are likely to experience serious ethical dilemmas and conflicts because of the dangerous and unpredictable care situations. Nursing ethical decision-making ability is therefore a core competence. Empathy and professional values may be the important variables that influence ethical decision-making. However, for emergency nurses, there is a lack of empirical evidence to support presently. This study aimed to explore the influence of empathy and professional values on nursing ethical decision-making of emergency nurses.MethodsA convenience sample of 236 emergency nurses from 10 general hospitals in China were surveyed. Their ethical decision-making ability, empathy and professional values were measured using the Judgment About Nursing Decision scale, Jefferson Scale of Empathy-Health Professionals, and Nursing Professional Values Scale-Revised, respectively. Additionally, their sociodemographic data were collected. Univariate analysis, Pearson analysis, and multiple linear regression were performed.ResultsThe mean ethical decision-making score of emergency nurses was 295.06 ± 26.49, which was medium level. Their average ethical choice score was higher than that of ethical action (P < 0.001). The multiple linear regression results showed that professional values (Standardized coefficients (β) = 0.295, 95% confidence interval (CI): 0.618–1.618), empathy (β = 0.210, 95% CI: 0.620–1.613), job title (β = 0.253, 95% CI: 0.357–2.800) and number of forms of in-service training on ethical decision-making (β = 0.243, 95% CI: 0.254–3.942) were the independent factors significantly influencing the ethical decision-making ability. The multivariate linear regression model had an F statistic of 32.153 (P < 0.001) and an R² = 0.588.ConclusionsStrengthening nurses’ empathy and professional values can help nurses make ethical decisions. More clinical experience and in-service training on ethical decision-making can help emergency nurses better handle ethical dilemmas and conflicts.     

护理风险的前瞻性管理和全程动态管理在急诊科病人抢救中的应用

目的 探讨护理风险的前瞻性管理和全程动态管理在急诊科的应用效果.方法 通过识别和分析急诊科在抢救病人中存在和潜在的护理风险,对护理风险实施前瞻性管理和全程动态管理.结果 急诊科护理质量和病人对急诊科工作满意度明显提高,病人投诉及护理差错发生率大为下降.结论 护理风险的前瞻性管理,是降低急诊科护理风险的根本保障;护理风险的全程动态管理,是降低急诊科护理风险的重要手段.     

急诊实习护士临床带教存在的问题及改进方法

目的:探讨急诊实习护士临床带教中可能存在的问题,以及相应的改进方法。方法:通过发放调查问卷,总结和分析急诊实习护士在临床带教中存在的问题,并进行带教方法的改进,将前后的结果进行对比。结果:实习护士在临床带教中存在的问题包括带教模式、带教方法、带教老师的水平等,进行带教方法改进后,效果显著。结论:传统护理教学模式在急诊科带教中存在一定的不适宜性,改革教学方法、提高护理教学质量,对培养实用型护理人才具有重要意义。     

工作实录分析配合模拟应急演练应用于突发性群体事件中对救治效率及应急救护能力的影响

目的 探讨工作实录分析配合模拟应急演练应用于突发性群体事件中的救护效果.方法 将医院急诊科2019年7—12月实施常规救护培训后收治的63例(12起突发群体伤事件)作为对照组,将医院急诊科2020年7—12月实施工作实录分析联合情景模拟演练培训后收治的60例(11起突发群体伤事件)作为观察组.对比两组救治效率、急诊科护...     

Workaholism and work-family interaction among emergency and critical care nurses

ObjectivesInvestigating the prevalence of workaholism as well as the relationship between work-family interaction among emergency and critical care nurses.Research methodology/designA quantitative cross-sectional study.SettingA total of 219 nurses took part in the Dutch Work Addiction Scale (DUWAS-10) and the Survey Work-Home Interaction Nijmegen (SWING), which included socio–demographic and occupational question. Data was gathered in Spain between June and September 2019.ResultsWorkaholism was found to be prevalent in 28.3% of the participants. In all four categories, workaholism was statistically connected to work-home interaction, with workaholics having higher means than non-workaholics. Perceived work stress was related to workaholism (p =.036). In the Work Excessively dimension, female nurses had significantly higher mean scores (M = 2.26) than their male counterparts (M = 1,88).In addition, in the Negative Work-Home Interaction (M = 2.04), the global mean scores were higher than in the Negative Home-Work Interaction (M = 1.34), indicating conflict and a negative impact of work on the family.ConclusionThe findings of this study demonstrated the necessity of taking into account demands and resources from both the work and home domains since it has been shown that both have an impact on one other. Furthermore, given the vital responsibilities that emergency and critical care nurses play in the health care system, our findings suggest that occupational health treatments should be used to identify those working profiles that are particularly at risk.     

微量注射泵在急诊抢救中的应用与护理

随着医疗技术的进步,各种医疗仪器在临床上的广泛应用,微量注射泵因具有长时间、微量、均匀、精确地输入药物和操作简单、可控制性强等优点,成为医院急救、治疗及护理方面的常用设备,尤其是急诊科,微量注射泵是抢救中必不可少的设备,诸如心肺复苏术中、急性心肌梗死、急性胰腺炎、糖尿病酮症酸中毒、休克等,发挥了重要作用。