"オープン・ノート"の時代におけるアメリカにおけるチャペランのチャート: 品質改善プロジェクトからの勧告
Jo Hirschmann1, Karen Terry2, Rachel Van Thyn2
1Center for Spirituality and Health, Mount Sinai Hospital, 1 Gustave L. Levy Place, Box 1036, New York, NY, 10029, USA. jo.hirschmann@mountsinai.org.
Journal of religion and health
|August 23, 2025
まとめ
ヘルスケア・チャペランは,強みに基づいた言語と,電子医療記録の簡潔なメモを採用し,21世紀のCURES法の下でコミュニケーションを強化することで,患者のケアを改善することができます. これはオープンノートの環境で継続的な精神的なサポートを保証します.
科学分野:
- ヘルスケア
- 霊的 な 介護
- 医療情報学
背景:
- 21st Century CURES Actは,患者の電子医療記録 (EHR) へのオンラインアクセスを義務付けています.
- 患者さんにとって 牧師のメモは目に見えるようになり 文書の見直しが必要になりました
- 精神 的 な 介護 の 提供 者 に とっ て 独特 な 課題 と 機会 を 提示 し て い ます.
研究 の 目的:
- オープンな電子医療記録の文脈で聖職者のメモを書くための勧告を策定する.
- 患者の利益のために 牧師の文書の質と効果を向上させる
- 野外腫瘍科でのメモ書きの戦略を調整する.
主な方法:
- 3段階の品質改善プロセスが採用されました.
- 勧告は,現在のチャペランのメモ書きの慣行の分析から得られた.
- 外科医の腫瘍学などの特定の臨床状況が考慮された.
主要な成果:
- 主な推奨事項は,強みに基づいた言語を使用し,不信感を避けることです.
- 注記はより簡潔にされ,患者のケアを続けるのに役立ちます.
- 外来腫瘍科のチャペランには電話での相談など 特別なガイドラインが用意されています
結論:
- 牧師のメモ書きは オープン・ノートの時代に 適応する必要があります
- 効果的な記録は 継続的な精神的ケアと 患者の関与を支えるものです
- オーダーメイドの戦略は 腫瘍学のような専門分野に有益です
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