使用质量改进来设计幼儿服务 在初级保健中导航
Amy L King1, Courtney M Brown2,3, Cynthia C White1
1From the Cincinnati Children's Hospital, Cincinnati, Ohio.
Pediatric quality & safety
|July 12, 2023
概括
儿科医生可以通过聘请ECE导航员来改善贫困家庭的幼儿教育 (ECE) 接入. 这一角色成功地增加了推和高质量的ECE课程的入学率.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 教育政策 教育政策
背景情况:
- 高质量的幼儿教育 (ECE) 对儿童的发展有显著的好处,可以减少社会经济和种族差异.
- 鼓励儿科医生推广幼儿教育,但往往缺乏资源和时间来有效指导家庭.
- 一个学术初级保健中心实施了ECE导航员的作用,以解决这个差距.
研究的目的:
- 从每月的0到15增加对高质量的ECE课程的便利转介.
- 在2020年12月之前,为被推儿童的ECE计划实现50%的入学率.
主要方法:
- 使用了卫生保健改进研究所的改进模型框架.
- 与ECE机构实施系统变更,包括交互式地图和简化招生.
- 为家庭提供案例管理,并使用基于人口的方法来评估需求和影响.
主要成果:
- 每月简化转诊的数量从0增加到平均29人,超过15人的目标.
- 招生率从2018年的30%上升到74%,但由于与流行病相关的儿童保育短缺,在2020年下降到27%.
- 通过ECE Navigator的干预,人们获得ECE服务的机会显著增加.
结论:
- 欧洲经济委员会导航员合作伙伴关系成功提高了获得高质量的幼儿教育的机会.
- 这个模型可以被其他医疗保健机构和WIC办公室适应,以促进低收入和少数民族家庭的公平ECE接入.
- 创新的伙伴关系可以有效地弥合医疗保健和早期教育服务之间的差距.
相关概念视频
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Documentation in Long-Term and Home Healthcare Setting
931
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
931
Nursing Clinical Information System
823
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
823
Patient-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
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
Nursing 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


