改善护理人员对在家死亡的患者的反应:基于变化方法的理论
Jane Simpson1, Bader Nael Remawi2, Kieran Potts3
1Division of Health Research, Lancaster University, Lancaster, LA1 4YT, UK. j.simpson2@lancaster.ac.uk.
BMC emergency medicine
|August 2, 2023
概括
护理人员需要更好的终身护理 (EoLC) 培训. 改变理论模型有助于开发一种干预措施,以提高护理人员的技能,并为临终期的患者提供更好的支持.
科学领域:
- 护理人员的实践实践
- 抚慰性护理是一项非常重要的护理.
- 医疗服务研究 医疗服务研究
背景情况:
- 护理人员经常遇到患有晚期不可治愈疾病的患者,但往往缺乏对终身护理 (EoLC) 的信心和技能.
- 现有的EoLC对护理人员的干预缺乏坚实的理论基础,阻碍了有效性评估.
- 变化理论模型提供了一个结构化的方法,以将干预活动与EoLC中所期望的结果联系起来.
研究的目的:
- 开发一种基于证据的干预措施,以改善社区环境中的护理人员终身护理 (EoLC) 技能.
- 利用变化理论框架指导干预开发过程.
- 为护理人员确定有效的EoLC干预的关键组件.
主要方法:
- 作为理论框架,采用了变化理论方法.
- 包括护理人员和息护理专家在内的9个利益相关者参加了5个在线研讨会.
- 利益相关者通过代反共同定义了所需的影响,结果和干预策略.
主要成果:
- 所需影响被定义为一致,整体,以患者为中心和有效的EoLC.
- 潜在的长期结果包括优化生命终端药物使用,减少错误,减少住院治疗,以及改善死亡地点的一致性.
- 干预组件侧重于立即获取信息,情况评估,治疗算法和社区支持的识别.
结论:
- 改变理论方法有效地确定了护理医疗EoLC干预的关键要素.
- 利益相关者强调需要立即获得信息和资源,以支持EoLC的护理人员.
- 开发的干预框架旨在增强护理人员在提供高质量的终身护理方面的能力.
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