The Relationship Between Evidence-Based Practices and Emergency Department Managers' Perceptions on Quality of Care for Self-Harm Patients.

The Relationship Between Evidence-Based Practices and Emergency Department Managers' Perceptions on Quality of Care for Self-Harm Patients.
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DOI:
10.1177/1078390319889673
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发表时间:
2020
影响因子:
2
通讯作者:
Marcus, Steven C.
Marcus, Steven C.
中科院分区:
医学4区
文献类型:
--
作者:
Diana, Amaya H.;Olfson, Mark;Cullen, Sara Wiese;Marcus, Steven C.

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了解循证实践的实施在多大程度上影响急诊科(ED)护士管理者对故意自残患者提供的护理质量的看法。来自全国513家具有代表性的医院的急诊科护理领导完成了一项关于故意自残患者的急诊科管理的调查,包括对故意自残患者的护理质量进行了1到5分的李克特量表。在控制相关医院特征的情况下,未调整和调整分析检查了提供循证实践与护理质量之间的关系。总体平均质量评分为3.09。常规参与出院计划(β = 0.488)和安全计划(β = 0.736)流程的急诊医生调整后的质量评级较高。心理卫生人员水平较高的医院(β = 0.368)和教学医院(β = 0.319)的评分也较高。初步调查结果表明,国家机构准备进一步实施基于证据的蓄意自残患者实践。
To understand the extent to which implementation of evidence-based practices affects emergency department (ED) nurse managers’ perceptions of quality of care provided to deliberate self-harm patients. ED nursing leadership from a nationally representative sample of 513 hospitals completed a survey on the ED management of deliberate self-harm patients, including the quality of care for deliberate self-harm patients on a I to 5 point Likert-type scale. Unadjusted and adjusted analyses, controlling for relevant hospital characteristics, examined associations between the provision of evidence-based practices and quality of care. The overall mean quality rating was 3.09. Adjusted quality ratings were higher for EDs that routinely engaged in discharge planning (β = 0.488) and safety planning (β = 0.736) processes. Ratings were also higher for hospitals with higher levels of mental health staff (β = 0.368) and for teaching hospitals (β = 0.319). Preliminary findings suggest a national institutional readiness for further implementation of evidence-based practices for deliberate self-harm patients.
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