関連する実験動画
Updated: Jul 6, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
ベスト・エビデンスからベスト・プラクティスへ: 患者のケアにおける変化の効果的な実施
Richard Grol1, Jeremy Grimshaw
1Centre for Quality of Care Research (WOK), Universities of Nijmegen and Maastricht, PO Box 9101, WOK 229 6500 HB, Nijmegen, Netherlands. r.grol@wok.umcn.nl
Lancet (London, England)
|October 22, 2003
まとめ
患者さんには,しばしば最適な治療を受けられないため,エビデンスベースの実践の実施は課題に直面しています. 特定の文脈に合わせた包括的で多層の戦略は,医療慣行を変え,患者のアウトカムを改善するために最も効果的です.
科学分野:
- 医療サービス 研究 医療サービス
- 医療実践の改善 医療実践の改善
- エビデンスベースの医療の実施
背景:
- 臨床的エビデンス/ガイドラインと通常の医療実践の間には大きなギャップが存在します.
- 治療の過度または過度の使用を含む,最適でない患者のケアが一般的です.
- 証拠を実践に移すための効果的な戦略は,依然として不明確です.
研究 の 目的:
- 医療慣行を変えるためのイニシアチブに関する現在の知識の概要を提供する.
- 証拠の実施のための効果的かつ効率的なアプローチを特定する.
- 臨床ガイドラインの採用に影響を与える要因を理解する.
主な方法:
- 医療実践の変革を目的としたイニシアチブの体系的なレビュー.
- 異なる実施戦略の有効性に関する証拠の分析.
- 医療環境における行動変化に影響を与える要因の評価.
主要な成果:
- 医療実践における行動の変化は達成可能ですが,包括的で多層面的な介入が必要です.
- 戦略は,特定の環境,ターゲットグループ,および証拠の性質に合わせたものでなければなりません.
- すべての状況において,単一のアプローチが普遍的に他者を凌駕することはありません.
結論:
- 証拠とガイドラインの効果的な実施には,多面的な戦略が求められます.
- 障壁とファシリテーターを理解することは,実践の変化を成功させるために不可欠です.
- 文脈特有のアプローチは,証拠翻訳を通じて患者のケアを最適化するために不可欠です.
関連する概念動画
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Role of Communication in the Nursing Process III: Evaluation and Documentation
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...