Effect of Forward-looking Emergency Nursing Intervention in Green Channel Mode on Patients with Acute Stroke

2021 ◽  
Keyword(s):  
Acute Stroke ◽  
Nursing Intervention ◽  
Emergency Nursing ◽  
Green Channel ◽  
Channel Mode ◽  
Forward Looking

scholarly journals Effects of Predictive Nursing Intervention among Patients with Acute Stroke

2021 ◽  
Author(s):  
Lina Gong ◽  
Chunhong Ruan ◽  
Xuan Yang ◽  
Wanli Lin
Keyword(s):  
Sleep Quality ◽  
Acute Stroke ◽  
Daily Life ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Hunan Province ◽  
Control Group ◽  
Significant Difference ◽  
Movement Function ◽  
Neurologic Function

Background: To explore the effects of predictive nursing intervention among patients with acute stroke. Methods: One hundred and sixty participants were included. They were hospitalized in the Department of Neurology of a third-level first-class hospital in Changsha, Hunan Province, from January to August 2019. They were categorized into control group and intervention group by random number table, with 80 patients in each group. General nursing for patients in Neurology Department was offered to the control group. On the basis of general nursing, predictive nursing intervention was offered to the intervention group. The effectiveness of predictive nursing intervention were evaluated by disparity in neurologic function, movement function, daily life ability and sleep quality before intervention and 2 weeks after intervention. The neurologic function, movement function, daily life ability and sleep quality were evaluated by National Institute of Health acute stroke scale (NIHSS), Fugl-Meyer scale, Barthel indicator, and Pittsburgh sleep quality indicator (PSQI), respectively. Results: There was no significant difference in gender, age, complications and treatment methods between two groups. There was no significant difference in the scores of NIHSS, Fugl-Meyer scale, Barthel indicator, and PSQI before intervention. The scores of NIHSS and PSQI were significantly lower in the intervention group than those in the control group, and the scores of Fugl-Meyer scale and Barthel indicator were significantly higher in the intervention group than those in the control group (P <0.05). Conclusion: Predictive nursing intervention could help improve not only neurologic function, movement function, and daily life ability, but also sleep quality among patients with acute stroke.

Abstract WP346: Improving Nursing Skills In Acute Stroke Patients Can Reduce The Time-to-treatment

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
ESTELA SANJUAN ◽  
PILAR MELER ◽  
MARTA RUBIERA ◽  
MARC RIBO ◽  
MARIAN MUCHADA ◽  
...  
Keyword(s):  
Emergency Room ◽  
Acute Stroke ◽  
Blood Sample ◽  
Treatment Decision ◽  
Emergency Nursing ◽  
Sample Collection ◽  
Stroke Patients ◽  
Time To Treatment ◽  
Nursing Professionals ◽  
Mean Time

INTRODUCTION: Intravenous tPa treatment is time dependent. The management of Hypertension (HTN) and Hyperglycemia (HGL), along with blood sample collection in the emergency room (ER) may cause delays in tPa treatment, if not performed at the same time that the neurologist is examining the patient. Our aim was to determine whether the emergency nursing professional skills can reduce the delay on tPa administration during the emergency room stay. Methodology: This is a prospective study of acute stroke patients evaluated in the ER. Time from presentation to the ER to treatment was evaluated (time to treatment decision). This time was considered delayed if it was more than 40 minutes. Exact times of nursing activities were recorded as well as the causes that can impact delay and can be solved by nursing professionals (baseline hypertension, hyperglycemia and time to blood sample collection). Results: From January to July 2012, 222 patients were evaluated. 50% were men, mean age of 71,1 ,and mean time spent in the ER was 18±9 minutes. 35 patients where hypertensive on admission(15,8%), 59 had hyperglycemia(26,6%) and 11 had both(5%). Mean time to obtain blood sample was 5±3 minutes. Seventy-three patients(32,8%) were treated with intravenous tpa. Door-to-needle time was 39±19 minutes and CT-to-bolus time 11±4 minutes. In up to 29 times, a cause of delay in tPa initiation >40minutes was identified. Of those, 11 were related to nursing actions: 4(14,8%) blood sample delays and 7(25,9%) delays in treatment of HBP or HGL. Conclusions: Emergency nursing professionals have a very important role in acute stroke and developing skills and training may reduce time-to-treatment. A specialized stroke code nurse would probably improve stroke management in emergency room.

scholarly journals Effect of Humanized Nursing on Emergency Success Rate and Satisfaction in Emergency Nursing

1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Kang Yuehua
Keyword(s):  
Emergency Department ◽  
Success Rate ◽  
Emergency Treatment ◽  
Nursing Intervention ◽  
Control Group ◽  
Emergency Nursing ◽  
Satisfaction Rate ◽  
The Difference ◽  
The Impact ◽  
Experimental Group

Objective: To explore the impact of human nursing on emergency success rate and satisfaction in emergency department nursing. Methods: 146 cases of emergency patients were collected from February 2015 to July 2016 in our hospital. The patients were randomly divided into control group and experimental group (73 cases). The patients in the control group were treated by routine nursing method. The patients in the experimental group nursing intervention was performed on the basis of humanized care in the control group, and the success rate and satisfaction of the two groups were observed. Results: The success rate of emergency treatment (93.2%) in the experimental group was significantly higher than that in the control group (79.5%), the difference was statistically significant (P < 0.05).After the nursing group, the satisfaction rate 91.8%) was significantly higher than that of the control group (65.8%), which was statistically significant (P < 0.05). Conclusion: Human care in emergency department nursing can effectively improve the success rate of emergency and patient satisfaction.

Strategies used in practice in emergency nursing: implications ethical and professional

2010 ◽  
Vol 4 (2) ◽  
pp. 708
Author(s):  
Simone Cruz Machado Ferreira ◽  
Enilda Moreira Carvalho Alves ◽  
Geilsa Soraia Cavalcanti Valente
Keyword(s):  
Emergency Room ◽  
Nursing Staff ◽  
Participant Observation ◽  
Nursing Intervention ◽  
Product Line ◽  
University Hospital ◽  
Emergency Nursing ◽  
Working Process ◽  
Everyday Practices ◽  
Product Line Management

ABSTRACTObjectives: to identify the strategies used by members of the nursing staff in the emergency room and analyze the ethical and professional implications of these strategies, as everyday practices that drive. Method: this is about an qualitative study, conducted in the emergency room of University Hospital Antonio Pedro, Universidade Federal Fluminense, approved by the Ethics Committee under n. 0155-07. It was used as a tool for data collection, participant observation, according to the precepts of Resolution 196/96. Results: the working process of the nursing staff of the Emergency Hospital Universitário Antônio Pedro is strongly characterized by improvisation and fragmentation. Thus, the nursing intervention is subject to adjustments in the way of doing, here understood as strategies. The use of strategies in the action has ethical and professional implications involving the provision of safe handling and quality and application of scientifically proven techniques. Conclusion: the practice observed in the nurses' performance is still not systematic in experiments without evaluating the consequences, which are not even perceived as such by staff of the work, making them unaware of the ethical and professional. Descriptors: ethics, nursing; ethics, professional; emergency nursing; professional practice location; product line management; strategies.RESUMOObjetivos: identificar as estratégias utilizadas pelos membros da equipe de enfermagem na emergência hospitalar e analisar as implicações ético-profissionais dessas estratégias, enquanto práticas cotidianas nessa unidade. Método: estudo qualitativo, realizado no setor de emergência do Hospital Universitário Antonio Pedro da Universidade Federal Fluminense, aprovado pelo Comitê de Ética sob n. 0155-07.  Utilizou-se como instrumento de coleta de dados a observação participante, segundo os preceitos da Resolução 196/96. Resultados: o processo de trabalho da equipe de enfermagem da Emergência do Hospital Universitário Antônio Pedro é fortemente caracterizado por improviso e fragmentação. Desta forma, a intervenção de enfermagem está sujeita a adaptações no modo de fazer, aqui compreendidas como estratégias. A utilização de estratégias na atuação possui implicações ético-profissionais que envolvem a prestação de assistência segura e de qualidade e a aplicação de técnicas comprovadas cientificamente. Conclusão: a prática observada na atuação dos enfermeiros ainda se constitui em experiências não sistematizadas e sem avaliação das suas conseqüências, que sequer são percebidas como tal pelos agentes do trabalho, realizando-as sem consciência das implicações éticas e profissionais. Descritores: ética em enfermagem; ética profissional; enfermagem em emergência; área de atuação profissional; administração de linha de produção; estratégias.RESUMENObjetivos: identificar las estrategias utilizadas por los miembros del personal de enfermería en la sala de emergencias y analizar las implicaciones éticas y profesionales de estas estrategias, como las prácticas cotidianas de esa unidad. Método: estudio cualitativo, realizado en la sala de urgencias del Hospital Universitario Antonio Pedro, Universidade Federal Fluminense, aprobado por el Comité de Ética bajo el n. 0155-07. Fue utilizado como una herramienta para la recopilación de datos, la observación participante, de acuerdo a los preceptos de la Resolución 196/96. Resultados: el proceso de trabajo del personal de enfermería de la Emergencia del Hospital Universitario Antônio Pedro está fuertemente caracterizado por la improvisación y la fragmentación. Así pues, la intervención de enfermería está sujeta a ajustes en la forma de hacer, aquí entendida como las estrategias. Las implicaciones del uso de estrategias en la acción ética y profesional que implique la prestación de seguridad en la manipulación y la calidad y la aplicación de técnicas científicamente probadas. Conclusión: la práctica observada en el desempeño de la enfermería no está siendo sistemática en experimentos sin evaluar las consecuencias, que ni siquiera son percibidas como tales por el personal de la obra, haciendo que no tengan conciencia de lo ético y profesional. Descriptores: ética en enfermería; ética profesional; enfermería de urgencia; ubicación de la práctica profesional; administración de línea de producción; estrategias. 

scholarly journals Evaluation of the Effect of Intensive Nursing Intervention Based on Process Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-11 ◽  
Author(s):  
Zhiying Zhang ◽  
Huiju Zhu
Keyword(s):  
Business Process ◽  
Medical Staff ◽  
Process Analysis ◽  
Nursing Intervention ◽  
Work Flow ◽  
Emergency Nursing ◽  
Rescue Work ◽  
Efficiency And Effectiveness ◽  
New Business ◽  
Key Indicators

In order to achieve significant improvements in the evaluation of key indicators such as speed, quality, cost, and service, this paper fundamentally rethinks and completely redesigns the business process, and recreates a new business process. This study combines the particularity of AMI with emergency nursing to construct an in-hospital AMI emergency nursing process to further standardize the AMI rescue work. The implementation of the process helps to clarify the responsibilities and requirements of nurses in the AMI emergency process, reduce the delay time of AMI emergency, and improve the efficiency and effectiveness of emergency. In addition, after refactoring the business process, this paper builds an intelligent digital critical illness monitoring system. This system combines the original work flow of the ICU medical staff, optimizes the work flow of the medical staff through computer technology and information technology, and designs and completes the digital intensive nursing system software to run and use in the hospital and obtain significant results.

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