父母与医疗复杂性儿童共享住院患者安全关切的过程中的经验:定性分析
Madeline Q Kieren1, Michelle M Kelly1, Miguel A Garcia1
1University of Wisconsin-Madison School of Medicine and Public Health, Department of Pediatrics (MQ Kieren, MM Kelly, MA Garcia, and T Chen).
Academic pediatrics
|June 11, 2023
概括
家长是医疗复杂性儿童 (CMC) 住院安全问题的关键报告人. 他们的经验突出了四步报告过程和员工响应的范围,影响了验证的感觉.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 患者安全 患者安全
- 定性研究是指质量研究.
背景情况:
- 患有医疗复杂性 (CMC) 的儿童的父母经常在住院期间充当独特的安全监视者.
- 了解家长对识别和报告安全问题的看法对于改善护理质量至关重要.
研究的目的:
- 描述医疗复杂性 (CMC) 儿童的父母识别和报告住院患者安全问题的过程.
- 分析家长在报告安全问题时所经历的各种反应和验证.
主要方法:
- 从与31名CMC的家长进行的半结构面试中获得的定性数据的二次分析.
- 对转录的采访进行主题分析,以开发家长安全报告的概念模型.
主要成果:
- 确定了四个步骤的过程:识别问题,报告,员工响应和验证/失效.
- 父母经常首先发现安全问题,并实时口头报告.
- 响应范围从确认和解决方案 (导致验证) 到解雇 (导致无效).
结论:
- 父母需要经过多步骤的过程,在住院期间报告安全问题.
- 工作人员的反应和验证显著影响家长的感受和对护理质量的感知.
- 这些发现可以为以家庭为中心的干预提供信息,以提高住院患者的安全报告.
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