Continuity of care from the emergency department nurse to the intensive care nurse of patients with ACSEST
Section: Healthcare Management
How to quote
Espina Boixo MA et al. Continuidad de cuidados desde el enfermero de emergencias hacia la enfermera de CI de pacientes con SCACEST.
Authors
1Miguel Ángel Espina Boixo, 2María Rosario García Lobato, 1Emilio Jesús Flores Rico, 3Beatriz Martín Sánchez, 4José María Villadiego Sánchez, 2María Teresa Carretero Ponce
Position
1Enfermero del Servicio Provincial de Huelva. Empresa Pública de Emergencias Sanitarias de Andalucía (061).2Enfermera de la Unidad de Cuidados Críticos Coronarios. Hospital Juan Ramón Jiménez. Huelva.3Enfermera, Supervisora de la Unidad de Cuidados Críticos Coronarios. Hospital Juan Ramón Jiménez. Huelva.4Médico EPES (Empresa Pública de Emergencias Sanitarias), Sevilla. Coordinador del Proyecto de Investigación "Vías alternativas de analgesia en traumas".
Contact address
Miguel Ángel Espina Boixo. C/ Julio Romero de Torres, 13. 21110 Bellavista-Aljaraque (Huelva).
Contact email: mespinab@telefonica.net
Abstract
Material and method: descriptive study, using the Delphi technique. 10 nurses from the emergency department and 14 nurses from the ICU were selected as experts. A 4-part questionnaire was used: initial assessment, collaboration problems, autonomy problems and nursing diagnoses. Based on the first questionnaire the following two were created with items that were higher than the median of the medians of the scores that the experts granted to each of the items. The questionnaires were administered to the two groups at the same time.
Results: hemodynamic evolution, the characteristics and evolution of pain, applied medication and electrocardiographic changes are the most important aspects of nursing collaboration in the transfer of these patients. Anxiety and fear are the most expected human responses in these patients.
Conclusions: the transmission of information during the transfer of these patients should be focused on these aspects. In order to record these data the registry of nursing care that is currently used in the emergency department should be modified.
Keywords:
continuity of care; emergency nursingIntensive Coronary Care
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