• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Health Services Research & Policy >Do different types of nurses give different triage decisions in NHS Direct? A mixed methods study
【24h】

Do different types of nurses give different triage decisions in NHS Direct? A mixed methods study

机译：在NHS Direct中，不同类型的护士会做出不同的分诊决定吗？混合方法研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: To determine whether nurses with different clinical backgrounds make different triage decisions innNHS Direct, the 24-hour telephone helpline staffed by nurses.nMethods: Mixed methods including semistructured interviews with 24 nurses and a multilevel analysis of 60 794ncalls triaged by 296 nurses.nResults: Nurse accounts helped to identify nurse characteristics that might affect decision-making. The proportionnof calls triaged to self-care was 40% (24 049/60 794), varying by individual nurse from a 10th centile of 22% to a 90thncentile of 60%, after adjustment for the age and sex of the patient and the time of the call. Variability was partlynexplained by the length of clinical experience of nurses and the type of software used: nurses with more than 20nyears clinical experience were more likely to triage callers to self-care than those with less than ten years experiencen(42% versus 36%, respectively; odds ratio ?1.41, 95% confidence interval 1.13, 1.78). Proportions triaged to selfcarendiffered by the type of clinical decision support software used: 31%, 37% and 44%. There was no evidence thatnthe clinical background of nurses (hospital or community), their length of experience in NHS Direct, the range ofntheir experience, or their gender affected triage decisions. Interviews identified that nursing characteristics affectednindividual nurses in different ways and helped to generate a hypothesis for future research – that individual nurses’napproaches to risk may influence triage decisions.nConclusion: There is no likely benefit in narrowing nurse recruitment to particular clinical backgrounds. Thenappropriateness of triage decisions still needs to be evaluated.
机译：目的：确定临床背景不同的护士是否在由护士配备的24小时电话热线nNHS Direct中做出不同的分诊决定。n方法：混合方法，包括对24名护士进行的半结构化访谈以及对296名护士分流的60 794个电话进行多层次分析。 ：护士账户有助于识别可能影响决策的护士特征。经调整患者的年龄和性别以及时间后，分类为自我护理的呼叫比例为40％（24 049/60 794），由各个护士的比例从10％的22％变为90％的60％。电话。护士的临床经验的长短和所用软件的类型在一定程度上解释了这种差异：具有20年以上临床经验的护士比具有不到10年经验的护士更有可能对呼叫者进行自我护理分类（42％对36％，分别为：比值比？1.41，95％置信区间1.13，1.78）。根据所使用的临床决策支持软件的类型，分成不同的比例：31％，37％和44％。没有证据表明护士（医院或社区）的临床背景，他们在NHS Direct中的经验年限，经验的范围或他们的性别会影响分诊决策。访谈表明，护理特点以不同的方式影响了个人护士，并有助于为未来的研究提出一个假设-个别护士的冒险方式可能会影响分诊决策。n结论：将护士的招聘范围缩小到特定的临床背景可能没有好处。然后，仍然需要评估分流决策的适当性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号