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関連する概念動画

Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role of Communication in the Nursing Process III: Evaluation and Documentation

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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:
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Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

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Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
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Patient-centered Care01:13

Patient-centered Care

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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...
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Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

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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...
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Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

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Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
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患者のアウトカムを利用した産科研修プログラムの評価

David A Asch1, Sean Nicholson, Sindhu Srinivas

  • 1Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104-6218, USA. asch@wharton.upenn.edu

JAMA
|September 24, 2009
PubMed
まとめ

産婦人科のレジデンスプログラムは,患者の合併症率によって順位付けられます. この医療品質指標は安定しており,医師免許試験のスコアとは無関係です.

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科学分野:

  • 医療教育 医療教育について
  • 産科・婦人科 産科・婦人科
  • 患者の安全性について

背景:

  • 病院と医師のパフォーマンスは,患者のアウトカムによって評価されます.
  • レジデンスプログラムは,比較のために伝統的に非臨床的測定法を使用しています.

研究 の 目的:

  • 産科・婦人科のレジデンスプログラムが,その卒業生が提供する医療の質に基づいて評価できるかどうかを判断する.
  • 産科におけるレジデンス研修と患者のアウトカムとの関連を調査.

主な方法:

  • フロリダ州とニューヨーク州 (1992年~2007年) の産科退院患者4,906,169人を遡って分析した.
  • 107の米国在籍プログラムから4124人の産婦人科医を検査しました.
  • ヴァギナル出産と帝王切開による出産における母親の合併症の9つの測定値を使用した.

主要な成果:

  • 妊産婦の合併症率の有意な変動は,産婦人科医のレジデンスプログラムと関連していました.
  • ランキングの低いプログラムからの卒業生は,ランキングのトッププログラムと比較して3.3%高い合併症率を持っていた.
  • プログラムのランキングは,さまざまな合併症の指標で一貫しており,免許試験のスコアの影響を受けませんでした.

結論:

  • 産科・婦人科のレジデンスプログラムは,卒業生の患者の母性の合併症率を使用して効果的にランク付けすることができます.
  • これらのランキングは,プログラム品質の安定的かつ客観的な尺度を提供します.
  • 医療の質の指標は,居住者免許試験の成績から独立しています.