专业护理的矩阵支持,由慢性病的护理模式支持:评估性研究
Francielle Renata Danielli Martins Marques1, Grazieli Adrieli Rodrigues Pires1, Vanessa Denardi Antoniassi Baldissera1
1Universidade Estadual de Maringá (UEM), Programa de Pós-Graduação em Enfermagem. Maringá, Paraná, Brasil.
Revista gaucha de enfermagem
|July 12, 2023
概括
通过加强病例管理和初级中等保健整合,矩阵支持改善了慢性疾病的专业门诊护理. 然而,沟通缺口阻碍了最佳实施.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
背景情况:
- 专科门诊护理 (SOC) 在管理慢性疾病方面面临挑战.
- 慢性疾病护理模型 (CCCM) 为改善慢性疾病管理提供了一个框架.
- 矩阵支持是一种加强不同级别护理之间的协作策略.
研究的目的:
- 分析对SOC卫生团队的矩阵支持的有效性.
- 在CCCM框架内评估矩阵支持.
- 确定实施矩阵支持策略的促进者和障碍.
主要方法:
- 使用CCCM框架进行定性评估研究.
- 通过采访21名卫生专业人员,观察分析和文档审查收集的数据.
- 通过使用MAXQDA软件的三角分析分析数据.
主要成果:
- 矩阵支持促进了初级和中级护理之间的更密切合作.
- 实施病例管理,改善了慢性疾病的综合护理.
- 沟通问题和对矩阵支持原则缺乏理解被确定为实施障碍.
结论:
- 矩阵支持对SOC中慢性病患者的专业护理质量产生了积极的影响.
- 解决沟通和理论理解对于有效的矩阵支持实施至关重要.
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