在推出一个全部门的基于测量的护理计划中学到的10个教训
Courtney Kaplan1, Emma Cho1, Jillian Russo1
1Simches Division of Child and Adolescent Psychiatry, McLean Hospital and Harvard Medical School, Belmont, Massachusetts.
概括
儿童精神健康状况很普遍,通常从14岁开始. 过度依赖主观的临床判断,而不是标准化的症状评级尺度,妨碍了准确的诊断和有效的治疗,导致不良结果.
科学领域:
- 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 心理健康状况影响15-20%的美国儿童和青少年,通常在14岁时开始.
- 许多病例仍未被发现和治疗,导致诊断变异和死亡率增加等不良结果.
- 过度依赖主观的临床判断 (
- 医学的艺术医学的艺术.
- ) 普遍存在,精神卫生提供者使用标准化措施的比例较低.
研究的目的:
- 突出与儿童心理健康问题相关的重大发病率和死亡率.
- 为了强调非标准化护理方法对患者结果的负面影响.
- 强调将标准化措施纳入临床实践的必要性.
主要方法:
- 关于儿童心理健康患病率和治疗结果的现有文献的审查.
- 分析心理健康专业人员使用症状评分尺度的数据.
- 使用临床判断与标准化工具对诊断准确度和患者监测的比较.
主要成果:
- 在儿童和青少年中,很大一部分心理健康状况没有被发现和治疗.
- 在美国,精神病医生 (17.9%) 和心理学家 (11.1%) 常规使用症状评分表的比例较低.
- 仅靠临床判断就有有限的能力来检测患者病情的恶化 (21.4%).
结论:
- 儿童和青少年心理健康护理缺乏标准化的方法,导致结果不佳.
- 实施标准化的症状评级尺度对于提高诊断准确性和患者护理至关重要.
- 需要从主观判断转向基于证据的标准化措施,以提高缓解率和降低死亡率.
相关概念视频
01:15Nursing Implementation
5.1K
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.
5.1K
01:15Methods of Documentation VI: Case Management Model
598
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...
For example, a patient with a chronic...
598
01:13Patient-centered Care
2.1K
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...
2.1K
01:29Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
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...
2.7K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K