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L’enseignement en mode synchrone des activités physiques et sportives dans un contexte de confinement. 在封闭环境下同步教学身体和体育活动。
Pub Date : 2021-01-06 DOI: 10.28984/DRHJ.V4I1.322
J. Alem, H. Hariti
Dans un contexte de confinement, jusqu’à quel point est-il possible d’enseigner en mode synchrone des apprentissages physiques, moteurs ou affectifs ? Une question fermée, dont les réponses étaient encodées sur une échelle de Lickert en quatre points a permis de mesurer la perception des acteurs sociaux engagés dans les développements physiques, moteurs et affectifs des participants. L’échantillon était composé de 102 acteurs sociaux sportifs, originaires du Maroc ou de l’Algérie âgés entre 9 et 64 ans. Les acteurs étaient des formateurs, des administrateurs, des pratiquants ou des parents. La question a fait l’objet d’une analyse de variance selon trois variables nominales (genre, statut, pays) et d’une corrélation de Pearson entre l’âge des acteurs sociaux et les trois types de développement souhaités. Il apparait que les développement physiques et affectifs sont perçus significativement plus difficile à évaluer par les acteurs sociaux marocains que par leurs homologues algériens. L’effet du genre n’est significatif que pour l’évaluation du développement affectif en faveur du genre féminin. Par contre, l’effet du statut de l’acteur social n’est significatif ni pour le développement physique, ni pour le développement moteur ni pour le développement affectif. Enfin, les ‘jeunes’ acteurs sociaux perçoivent moins difficile d’enseigner en mode synchrone les APS, mais la corrélation est plutôt faible (R= - 0,22*). Quelques hypothèses d’action sont envisagées pour faire face aux défis didactiques que posent ce type particulier d’enseignement en situation de confinement.
在一个封闭的环境中,在同步模式下教授身体、运动或情感学习的可能性有多大?一个封闭的问题,其答案被编码在一个四点李克特量表上,允许测量参与参与者的身体、运动和情感发展的社会行动者的感知。样本包括102名来自摩洛哥或阿尔及利亚的社会体育演员,年龄在9至64岁之间,演员包括教练、管理人员、从业者或家长。对这一问题进行了三个名义变量(性别、地位、国家)的方差分析,并对社会行动者的年龄与三种期望发展类型之间的皮尔逊相关性进行了分析。摩洛哥社会行动者似乎比阿尔及利亚社会行动者更难以评估身体和情感发展。性别效应仅在有利于女性的情感发展评估中显著。另一方面,社会行动者的地位对身体、运动或情感发展的影响并不显著。最后,“年轻”的社会参与者认为同步教授APS不那么困难,但相关性相当低(R= - 0.22 *)。本文提出了一些行动假设,以应对这种特殊类型的教学在封闭环境下的教学挑战。
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引用次数: 0
Reading Comprehension Abilities in the Anglophone Aging Population with Post-Secondary Education 以英语为母语、受过高等教育的老年人群的阅读理解能力
Pub Date : 2021-01-06 DOI: 10.28984/DRHJ.V4I1.336
D. Bérubé, Sophie Laurence
Literacy skills such as reading comprehension are essential in order to understand written information and complete daily tasks. Low literacy skills are common in the aging population thus affecting quality of life, independence and social integration. Reading comprehension is a complex activity that requires processing at many different levels. According to Kintsch’s construction-integration model, three levels of representations of a text must be achieved in order to fully comprehend a text. Previous studies often considered the aging population as a single group and compared this group to young adults. However, few studies examined the variability in reading comprehension abilities within the aging population. Studies examining the variability in the construction of a situation model in older adults are even more scarce. The main objective of this study is to examine the effect of age on reading comprehension abilities at the surface model, text-based model and situation model in the aging population with high education level. Participants were recruited in northern Ontario and were grouped into three age intervals (60-69 years; 70-79 years; ≥ 80 years). Participants’ cognitive functions were assessed using the Montreal Cognitive Assessment (MoCA) and health literacy was assessed using the Short Test of Functional Health Literacy in Adults (STOFHLA). Reading comprehension abilities were evaluated using the Woodcock Reading Mastery Tests - third edition (WRMT-III) as well as the Gray Oral Reading Test – fifth edition (GORT5). Results indicated no significant differences in performance of reading comprehension abilities among the three age groups at the surface level, text-based level, and situation model level of reading comprehension. These findings suggest no age-related effect on reading comprehension abilities in adults with high levels of education. The lack of differences observed may be explained by the absence of differences in cognitive functions between the three age groups as well as the high level of education which may have acted as a protective factor. Future studies should examine reading comprehension in Anglophone adults with lower levels of education to better understand whether education is a protective factor against a decline in reading comprehension abilities in the aging population.
阅读理解等读写能力对于理解书面信息和完成日常任务至关重要。低读写能力在老龄人口中很常见,从而影响生活质量、独立性和社会融合。阅读理解是一项复杂的活动,需要在许多不同的层面上进行处理。根据Kintsch的建构-整合模型,为了充分理解文本,必须实现文本的三个层次的表征。以前的研究通常将老年人口视为一个单一群体,并将这一群体与年轻人进行比较。然而,很少有研究调查了老年人阅读理解能力的变异性。关于老年人情境模型构建的可变性的研究就更少了。本研究的主要目的是在表面模型、文本模型和情境模型上考察年龄对高学历老年人阅读理解能力的影响。参与者在安大略省北部招募,并分为三个年龄段(60-69岁;70 - 79年;≥80年)。参与者的认知功能采用蒙特利尔认知评估(MoCA)评估,健康素养采用成人功能健康素养短测试(STOFHLA)评估。阅读理解能力评估使用伍德考克阅读掌握测试-第三版(WRMT-III)和格雷口语阅读测试-第五版(GORT5)。结果显示,三组学生的阅读理解能力在表层水平、文本基础水平和情境模型水平上均无显著差异。这些发现表明,对于受过高等教育的成年人来说,阅读理解能力没有年龄相关的影响。没有观察到差异的原因可能是三个年龄组之间的认知功能没有差异,而教育水平高可能是一种保护因素。未来的研究应该考察受教育程度较低的以英语为母语的成年人的阅读理解能力,以更好地了解教育是否是防止老年人阅读理解能力下降的保护因素。
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引用次数: 0
Exploring the Benefits of an Arts-Based Mindfulness Group Intervention for Teachers, University Students, and Women Survivors of Intimate Partner Violence 探索以艺术为基础的正念团体干预对教师、大学生和遭受亲密伴侣暴力的女性幸存者的好处
Pub Date : 2021-01-05 DOI: 10.28984/DRHJ.V4I2.323
Diana Coholic, Amanda O. Hardy, Goeldner Patricia, M. Stephanie
Mindfulness-based interventions (MBIs) teach practices that encourage the development of present moment awareness through paying attention on purpose and non-judgmentally to one’s experiences, feelings, thoughts, and behaviors. We describe three graduate student research thesis projects that explored the suitability and benefits of an arts-based MBI with three different populations; teachers, university students, and women survivors of intimate partner violence. These three populations have been identified as experiencing heightened levels of stress and in need of resilience building supports. All three projects were qualitative pilot studies that explored whether participants would experience increased understanding and development of mindfulness-based skills, and improved coping with stress through participating in the program. Pre- and post-MBI group interviews were conducted, and interview data was analyzed using thematic analysis. Across the three projects, the student researchers found self-reported benefits with no adverse effects. Developing mindfulness-based skills helped the participants to build their self-awareness/understanding which in turn helped to develop emotion regulation. This is consistent with our understanding of how MBIs can build people’s capacity to make conscious choices about their feelings rather than reacting to emotional triggers. Improved coping with stress was also reported in all three projects. Developing present-moment awareness and mindfulness can help people appreciate life’s moments, and cope better with daily life stressors. Also important was the growth of self-compassion and acceptance. The results are promising and indicate that further exploration with these populations is warranted. Future research could explore an arts-based approach to facilitating mindfulness with larger numbers of participants and using control and/or comparison groups.
正念干预(mbi)通过有意识地、不加评判地关注个人的经历、感受、思想和行为,来教授鼓励发展当下意识的实践。我们描述了三个研究生研究论文项目,探讨了基于艺术的MBI在三种不同人群中的适用性和益处;教师、大学生和遭受亲密伴侣暴力的女性幸存者。这三个人群已被确定为经历高度压力,需要恢复力建设支持。这三个项目都是定性的试点研究,旨在探索参与者是否会通过参与该项目来增加对正念技能的理解和发展,并改善应对压力的能力。进行了mbi前后的小组访谈,并对访谈数据进行了专题分析。在这三个项目中,学生研究人员发现自我报告的好处没有负面影响。发展以正念为基础的技能帮助参与者建立自我意识/理解,这反过来又有助于发展情绪调节。这与我们对mbi如何培养人们对自己的感受做出有意识选择的能力,而不是对情绪触发做出反应的理解是一致的。据报道,这三个项目都改善了应对压力的能力。培养当下意识和正念可以帮助人们欣赏生活中的每一刻,更好地应对日常生活中的压力。同样重要的是自我同情和接受的增长。结果是有希望的,并表明对这些种群的进一步探索是有必要的。未来的研究可以探索一种基于艺术的方法来促进更多的参与者,并使用对照组和/或对照组。
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引用次数: 0
Opioid Crisis: A Qualitative Analysis of Financial Influences and Addiction 阿片类药物危机:金融影响和成瘾的定性分析
Pub Date : 2021-01-05 DOI: 10.28984/DRHJ.V4I2.321
Nicole Naccarato, N. Wacker, Lissa L. Gagnon
The province of Ontario is currently engaged in a public health crisis centered around the use of opioids. As the number of opioid-related harms continues to grow, reports have identified a need for further investigation and understanding of opioid use.  The purpose of this qualitative study was to examine the differences in motives for opioid use amongst a diverse population. Data collection occurred by interviewing 14 participants at an Addictions Treatment Centre in Northern Ontario. Theoretical thematic analysis and an interpretive framework were used to analyze participants’ lived experiences with opioid use.  Analysis of the results revealed the theme of financial influence in addiction and recovery.  These insights are helpful in strengthening effective prevention and treatment strategies.  
安大略省目前正处于一场以阿片类药物使用为中心的公共卫生危机中。随着阿片类药物相关危害的数量持续增长,报告已经确定需要进一步调查和了解阿片类药物的使用。本定性研究的目的是研究不同人群中阿片类药物使用动机的差异。数据收集是通过访问安大略省北部一家成瘾治疗中心的14名参与者进行的。采用理论专题分析和解释框架分析参与者使用阿片类药物的生活经历。分析结果揭示了经济对成瘾和康复的影响这一主题。这些见解有助于加强有效的预防和治疗策略。
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引用次数: 1
Indigenous Fathering and Wellbeing: Kinship and Decolonial Approaches to Health Research 土著父亲和福利:亲属关系和非殖民化的健康研究方法
Pub Date : 2020-03-04 DOI: 10.28984/DRHJ.V3I0.303
L. Hall, T. Shute, P. Nangia, Mikaela Parr, P. Montgomery, Sharolyn Mossey
In the past decade, Canadian statistics indicate that fathering nurtures family wellbeing which ultimately fosters community growth. The wellbeing of Indigenous men, shaped by determinants of health and culture-based perspectives, is challenged by ongoing settler colonialism. In particular to Indigenous men living with children in their homes, less is known about their strengths as nurturers. For the purpose of this study, based on Indigenist, decolonizing theories, 'father' is not conceived as the head of household. An alternative to the heteropatriarchal model is the kinship orientation of Indigenous fathering and as such, father refers to uncle, grandfather, traditional Clan leader, adoptive parent, and so on. This study's secondary quantitative analysis  compared health and social characteristics of three cohorts of Indigenous adult men who identify as residing with children. Based on an extracted subset of variables from the 2012 Aboriginal Peoples Survey, results showed many significance comparisons among First Nations, Metis and Inuit men. Across health and social domains, multiple and decolonial supports are needed for Indigenous fathering to flourish.
在过去的十年里,加拿大的统计数据表明,父亲养育家庭幸福,最终促进社区发展。土著男子的福祉受到健康决定因素和基于文化的观点的影响,受到持续的定居者殖民主义的挑战。特别是与儿童同住在家中的土著男子,对他们作为养育者的力量所知甚少。为了本研究的目的,根据土著主义和非殖民化理论,“父亲”不被认为是一家之主。异族父权模式的另一种选择是土著父亲的亲属取向,因此,父亲指的是叔叔、祖父、传统的氏族领袖、养父母等等。本研究的二次定量分析比较了三组自认为与儿童同住的土著成年男子的健康和社会特征。根据2012年原住民调查中提取的变量子集,结果显示了第一民族、梅蒂斯人和因纽特人之间的许多显著比较。在整个保健和社会领域,需要多重和非殖民化的支持,以使土著父亲的做法蓬勃发展。
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引用次数: 0
Interprofessional Education in Four Canadian Undergraduate Nursing Programs: An Examination of the Supporting Data 四个加拿大本科护理专业的跨专业教育:支持数据的检验
Pub Date : 2020-03-02 DOI: 10.28984/DRHJ.V3I0.297
E. Donato, N. Lightfoot, L. MacEwan, L. Carter
Canadian nursing programs are required to provide Interprofessional Education (IPE) since formal inclusion in the undergraduate curricula in 2012. This multiple case study explored how four undergraduate university nursing programs in Northern Ontario integrated IPE into their curricula, including opportunities and challenges of meeting the new IPE requirements. Data collected and analyzed in the study were: interviews with program directors, focus groups and interviews with faculty members, program documentation and information on websites, and on-site program observations. This paper extends the findings of this study and the themes identified in it. These themes were as follows: 1) varied understandings of IPE, 2) diverse IPE learning activities within curricula, 3) the requirement for support and resources for IPE and research, 4) student participation and leadership in IPE, and 5) limited IPE evaluation (Author names removed for integrity of review process, 2019). In this paper, the themes are explored in further depth through extensive consideration of documentation provided by the involved universities. These resources complement the data derived through interviews and focus groups with faculty and directors.  Exploration of these data is a valuable means of illuminating any congruencies and dissonances found in the director and faculty data.    
自2012年正式纳入本科课程以来,加拿大护理专业要求提供跨专业教育(IPE)。本多案例研究探讨了安大略省北部四所本科大学护理专业如何将IPE纳入其课程,包括满足新的IPE要求的机遇和挑战。研究中收集和分析的数据包括:与项目主管的访谈、焦点小组和教师的访谈、项目文档和网站上的信息以及现场项目观察。本文扩展了本研究的发现和其中确定的主题。这些主题如下:1)对国际政治经济学的不同理解,2)课程中不同的国际政治经济学学习活动,3)国际政治经济学和研究对支持和资源的需求,4)学生在国际政治经济学中的参与和领导,以及5)有限的国际政治经济学评估(为了审查过程的完整性,2019年删除了作者姓名)。在本文中,通过广泛考虑相关大学提供的文件,对主题进行了更深入的探讨。这些资源补充了通过与教师和主任的访谈和焦点小组获得的数据。对这些数据的探索是阐明在主任和教员数据中发现的任何一致性和不一致性的有价值的手段。
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引用次数: 0
La maladie d’Alzheimer et ses conséquences sur les dimensions de la santé de la personne 阿尔茨海默病及其对人的健康方面的后果
Pub Date : 2018-09-04 DOI: 10.28984/drhj.v2i0.174
Mathieu Rheault-Henry, Alannah Hawes, E. Leger, G. Kpazaï
Aujourd’hui, on estime mondialement que près de 50 millions d’individus sont atteints de la maladie d’Alzheimer. Ce nombre doublera presque chaque 20 ans pour atteindre un nombre de près 75 millions de personnes en 2030 et 131,5 millions en 2050. De plus, la maladie d’Alzheimer a des conséquences sur toutes les dimensions de la personne humaine. La présente étude, qui découle d’une recherche de type « analyse documentaire », discute de ces conséquences sur quatre dimensions intrinsèques de la santé jugées les plus importantes, à savoir a) la dimension sociale, b) mentale, c) physique et et d) émotionnelle. L’état actuel de l’impact de la maladie d’Alzheimer sur ces dimensions, de même que les perspectives de stratégies d'intervention auprès des individus atteints de cette maladie, sont aussi abordés.    
如今,据估计,全世界有近5000万人患有阿尔茨海默病。这一数字将几乎每20年翻一番,到2030年达到近7500万人,到2050年达到1.315亿人。此外,阿尔茨海默病对人类的各个方面都有影响。本研究基于文献综述研究,讨论了健康的四个最重要的内在维度的影响,即a)社会维度、b)心理维度、c)身体维度和d)情感维度。本文还讨论了阿尔茨海默病对这些方面影响的现状,以及针对阿尔茨海默病患者的干预策略的前景。
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引用次数: 0
Abandonment 放弃
Pub Date : 2018-08-29 DOI: 10.28984/DRHJ.V2I0.171
A. Lovelace, L. Phelan, Rosanna Langer, Moira M. Ferguson, Lissa L. Gagnon
Purpose: Emergency departments (ED’s) often serve as the access point to health services for individuals living with mental health challenges, with mental health crisis (MHC) accounting for 15% of all presentations to ED’s in Canada. Consumers’ experiences of emergency mental health services have widely been reported as negative. This research aims to explore the experiences of individuals accessing the ED for MHC. Method: A supra-analysis was conducted using data from four semi-structured interviews collected from a larger study exploring stigma, discrimination and resilience in people experiencing mental health challenges. Supra-analysis aims to explore an aspect of the data from a different theoretical perspective. Transcripts were selected based on a participant history of voluntarily accessing emergency services for MHC. Data analysis was completed using the process of thematic analysis which involved immersion in the data, the development and refinement of codes leading to themes. Findings: A major theme of abandonment was identified in participant interviews with subthemes of; geographic, socioemotional and therapeutic abandonment. Participants reported that the locations of care, lack of social/emotional engagement and lack of health care providers’ (HCP) knowledge led to negative experiences attending ED’s. Participants also reported a lack of desire to access emergency services in the future. Conclusion: Future research is vital to enhance the delivery of emergency services, to reduce the feelings of abandonment experienced by individuals accessing the ED for MHC. Training and education must be provided to HCP’s staffing ED’s that focuses on providing high quality, appropriate emergency services to this vulnerable population.
目的:急诊科(ED’s)通常作为有精神健康挑战的个人获得卫生服务的接入点,加拿大精神健康危机(MHC)占急诊科所有报告的15%。消费者对紧急心理健康服务的体验被广泛报道为负面的。这项研究的目的是探索个人访问ED的MHC的经验。方法:利用四次半结构化访谈的数据进行超分析,这些访谈来自于一项更大的研究,该研究探讨了经历心理健康挑战的人的耻辱、歧视和适应能力。超分析旨在从不同的理论角度探讨数据的一个方面。根据参与者自愿获得MHC紧急服务的历史选择转录本。数据分析是通过主题分析过程完成的,其中包括沉浸在数据中,开发和改进导致主题的代码。研究结果:在参与者访谈中确定了遗弃的主要主题,次要主题是;地理、社会情感和治疗放弃。参与者报告说,护理地点、缺乏社会/情感参与和缺乏卫生保健提供者(HCP)知识导致了他们在急诊室的负面经历。与会者还报告说,他们不愿在未来获得紧急服务。结论:未来的研究对于加强紧急服务的提供,减少因MHC而进入急诊科的个人所经历的被遗弃感至关重要。必须向卫生保健中心的配备急诊科提供培训和教育,这些急诊科的重点是为这一弱势群体提供高质量、适当的紧急服务。
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引用次数: 1
Le développement d'une langue seconde chez des enfants qui ont un trouble déficitaire d'attention avec hyperactivité (TDAH) 注意缺陷多动障碍(adhd)儿童第二语言的发展
Pub Date : 2018-08-29 DOI: 10.28984/DRHJ.V2I0.168
Stephan Frenette, Chantal Mayer-Crittenden
Dans des contextes conversationnels, la pragmatique, qui est l’usage social de la langue, permet de gérer la façon dont les autres aspects du langage sont utilisés (Prutting & Kirchner, 1987; Searle, 1969). Cependant, certains enfants qui ont un trouble déficitaire d’attention avec hyperactivité (TDAH) ou qui ont un trouble du développement du langage (TDL) éprouvent des difficultés avec celle-ci, faisant en sorte qu’ils ont des difficultés à bien communiquer dans des contextes sociaux. Le TDAH est un des troubles psychiatriques les plus communs chez les enfants (Cantwell, 1996). Puisque le TDAH réduit l’habileté à un enfant à porter attention, il y a souvent une interférence avec le processus d’apprentissage. Souvent, il y a plus de difficultés scolaires retrouvées chez les enfants qui ont un TDAH et un TDL (Özerk, Handorff & Özerk, 2011, Zylowska, Ackerman, Yang, Futrell, Horton, Hale, & al., 2007). Le TDL est un trouble caractérisé par des problèmes au niveau de la compréhension et/ou de l’expression du langage sans être causé par un autre trouble ou syndrome. Les orthophonistes sont souvent appelés à évaluer et documenter la coexistence du TDL chez des enfants qui ont un TDAH (American Speech-Language-Hearing Association, 1997). Cependant, évaluer le langage des enfants avec un TDAH ne s’avère pas une tâche facile et comme plusieurs enfants qui ont un TDAH démontrent des difficultés avec l’attention ainsi que l’apprentissage de leur première langue (L1), certains chercheurs stipulent que les problèmes liés au TDAH pourraient également affecter l’apprentissage de la L2. Toutefois, puisque peu d’étude, sinon aucune, ont explorés ce sujet, cette étude aurait comme objectif d’explorer l’impact du TDAH sur l’apprentissage d’une L2. Cette étude exploratoire examinera les habiletés langagières de trois groupes d’enfants, soit 5 enfants sans TDAH, 5 enfants qui ont un TDAH et 5 enfants qui ont un TDAH en plus d’avoir un TDL.  
在会话语境中,语用学,即语言的社会使用,允许管理语言的其他方面是如何使用的(Prutting & Kirchner, 1987;苏,1969)。然而,一些患有注意力缺陷多动障碍(adhd)或语言发展障碍(TDL)的儿童在这方面有困难,这意味着他们在社交环境中很难有效沟通。多动症是儿童最常见的精神疾病之一(Cantwell, 1996)。由于多动症降低了孩子集中注意力的能力,学习过程经常受到干扰。学校往往有多困难,发现孩子身上有一个adhd和TDL(Özerk Handorff &Özerk 2011、Zylowska艾克曼、杨、Futrell霍顿、Hale & et al ., 2007)。TDL是一种以语言理解和/或表达问题为特征的障碍,而不是由其他障碍或综合症引起的。语言病理学家经常被要求评估和记录患有多动症的儿童的TDL共存情况(美国语言听力协会,1997)。不过,评估孩子的语言,带有adhd似乎不是一项容易的工作和几个孩子一样有adhd的展示与注意力困难以及他们的第一语言学习(L1),一些研究者指出adhd有关的问题也会影响学习L2。然而,由于很少有研究探讨这一主题,本研究旨在探讨多动症对第二语言学习的影响。这项探索性研究将检查三组儿童的语言技能,即5名没有多动症的儿童,5名有多动症的儿童和5名有多动症的儿童。
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引用次数: 0
Nursing Processes Related to Unexpected ICU Admissions 与意外ICU入院相关的护理流程
Pub Date : 2018-08-09 DOI: 10.28984/DRHJ.V2I0.126
Jennifer Martin, R. Heale, N. Lightfoot, L. Hill
Nurses have the knowledge and skills to recognize and intervene when the condition of patients on medical or surgical units deteriorates. Despite this, deterioration is sometimes missed resulting in unexpected ICU admissions. This study explored the nursing process factors associated with unexpected ICU admissions. A chart audit was undertaken in a large urban hospital and data were collected measuring nursing assessment (vital signs), communication and documentation. Results showed that the most common reason for an unexpected ICU admission was respiratory distress. At the same time, respiratory rate was the least documented vital sign. Communication, documentation and recognition of patient deterioration play a key role in intervening and preventing unexpected ICU admissions. Attention to adequate staffing levels as well as implementation of clinical tools may assist nurses to more readily address patient deterioration and prevent unexpected ICU admissions.  
当内科或外科病人的病情恶化时,护士有认识和干预的知识和技能。尽管如此,恶化有时会被遗漏,导致意外的ICU入院。本研究探讨与意外ICU入院相关的护理过程因素。在一家大型城市医院进行了图表审计,并收集了测量护理评估(生命体征)、沟通和文件的数据。结果显示,意外入住ICU的最常见原因是呼吸窘迫。同时,呼吸频率是记录最少的生命体征。沟通、记录和识别患者病情恶化在干预和预防意外ICU入院中起着关键作用。注意适当的人员配备水平以及临床工具的实施可以帮助护士更容易地处理患者恶化和防止意外的ICU入院。
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引用次数: 1
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