The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) Reliability and Validity

被引:5
|
作者
Tanabe, Paula [1 ,2 ]
Thornton, Victoria L. [1 ]
Martinovich, Zoran [3 ]
Todd, Knox H. [4 ]
Wun, Ted [5 ,6 ]
Lyons, John S. [7 ,8 ]
机构
[1] Duke Univ, Schools Nursing, Durham, NC 27713 USA
[2] Duke Univ, Sch Med, Durham, NC 27713 USA
[3] Northwestern Univ, Feinberg Sch Med, Div Psychol, Mental Hlth Serv & Policy Program, Chicago, IL USA
[4] Univ Texas MD Anderson Canc Ctr, Dept Emergency Med, Houston, TX USA
[5] Northern Calif HlthCare Syst, UC Davis Div Hematol & Oncol & Vet Adm, Sacramento, CA USA
[6] UC Davis CCRC, Sacramento, CA USA
[7] Univ Ottawa, Ottawa, ON, Canada
[8] Northwestern Univ, Chicago, IL USA
基金
美国医疗保健研究与质量局; 美国国家卫生研究院;
关键词
decision support; emergency department; measurement; quality improvement; sickle cell disease;
D O I
10.1097/TME.0b013e31828ecbd5
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Emergency department (ED) management of adults with sickle cell disease (SCD) is complex and frustrating. The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) is a research-based decision support and quality improvement (QI) tool to guide management of individual patients with SCD and can also be used to guide the development of ED protocols and other QI initiatives for this population. The study evaluated ED-SCANS' inter-rater reliability, face and utility validity among clinicians, and construct validity of anxiety, depression, and psychiatric or social service needs among patients. ED nurses and physicians found the ED-SCANS to be useful, relevant, and easy to use. Nurse practitioners can use the ED-SCANS to assess and manage individual patients. Clinical nurse specialists can use the ED-SCANS as a framework to guide departmental QI efforts.
引用
收藏
页码:143 / 153
页数:11
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