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首页> 外文期刊>International journal of older people nursing >Raising the bar of care for older people in Ontario emergency departments.
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Raising the bar of care for older people in Ontario emergency departments.

机译：在安大略省急诊部门提高老年人的护理标准。

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AIM: To describe the role of geriatric emergency management nurses as a catalyst for culture change in emergency department processes with the goal to improve care and outcomes of older people. BACKGROUND: The changing context and literature has called for a culture change within emergency department care to integrate principles of older people care into care delivery. There is a paucity of reports describing how geriatric emergency care models bring about a broader change in culture within the entire emergency department. METHODS: The Ontario Ministry of Health and Long-term Care in Canada established a programme to place geriatric emergency management nurses into emergency departments with the goal to improve delivery of care through development of unique, site-appropriate solutions. RESULTS: Geriatric emergency management nurses incorporate capacity building into their role to develop and strengthen the skills, instincts, abilities, process and resources of the emergency department. Care processes focus on areas of staffing, mobilization, comfort, medication, hygiene, nutrition/hydration, cognition, environment, equipment and stimulation. Multi-modal educational strategies and advocacy promote appropriate person-centred care. Improved communication among care providers at key patient transition points remains a priority system-level improvement. CONCLUSION: Geriatric emergency management nurses work collaboratively with the emergency department team to facilitate change in the way that emergency department care is provided to the older person experiencing health emergencies. IMPLICATIONS FOR PRACTICE: Known strategies that have been effective in improving outcomes for older people within the hospital and residential care setting can be generalized into emergency department care. Further research into the effectiveness of these strategies in this environment is recommended.
机译：目的：描述老年急诊护士在急诊科过程中作为文化变革催化剂的作用，旨在改善老年人的护理和结局。背景：不断变化的环境和文献要求在急诊科护理中改变文化，以将老年人护理的原则纳入护理提供中。很少有报道描述老年急诊模式如何在整个急诊部门内带来更广泛的文化变革。方法：加拿大安大略省卫生与长期护理部制定了一项计划，将老年急症管理护士纳入急诊科，旨在通过开发独特的，适合现场的解决方案来改善护理的提供。结果：老年急诊护士将能力建设纳入其职责，以发展和加强急诊科的技能，直觉，能力，流程和资源。护理过程集中在人员配备，动员，舒适，用药，卫生，营养/水合作用，认知，环境，设备和刺激等方面。多模式的教育策略和倡导促进适当的以人为本的护理。在关键患者过渡点改善医疗服务提供者之间的沟通仍然是系统级的重点改进。结论：老年急诊护理护士与急诊科团队合作，以促进改变向遇到健康紧急情况的老年人提供急诊科护理的方式。实践的意义：可以有效地改善医院和院所护理环境中老年人的结局的已知策略可以概括为急诊科护理。建议进一步研究这些策略在这种环境下的有效性。

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