发展儿童医院住院招生经验调查 (PHASE) 措施
Corrie E McDaniel1,2, Sarah J Lowry1,2,3, Sonja I Ziniel4
1Seattle Children's Hospital, Seattle, Washington.
Pediatrics
|August 16, 2023
概括
一个新的护理人员报告的质量指标评估了儿科住院体验. 该工具评估了患者和家庭的参与,信息共享,护理的有效性和及时性,有助于提高质量.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者体验测量 患者体验测量
- 儿科医疗保健研究 儿科医疗保健研究
背景情况:
- 关于评估住院体验质量的研究有限.
- 现有的措施主要集中在退院期间的护理过渡.
- 需要护理人员报告的工具来评估儿科医院的入院过程.
研究的目的:
- 开发和验证儿童医院入院体验的护理人员报告的质量指标.
- 创建一个工具,从护理人员的角度评估入院过程的关键领域.
主要方法:
- 该研究适应了现有的工具,使用专家的共识,并与护理人员进行认知预测和试点测试.
- 对910名儿童和普通医院的护理人员进行了调查.
- 统计分析包括项目减少,探索和确认因素分析以及有效性测试.
主要成果:
- 开发了一个14项,4个领域的测量标准:患者和家庭参与,信息共享,护理交付的有效性和护理的及时性.
- 领域得分各不相同,患者和家庭参与得分最高 (81%),护理及时性得分最低 (49%).
- 在信息共享和护理交付效率方面,在一般和儿童医院之间观察到显著的差异.
结论:
- 成功开发了一种有效和可靠的护理人员报告的医院入院体验测量方法.
- 这个测量可以用来评估医院转入护理的质量.
- 该工具为儿童医疗保健机构的有针对性的质量改善举措提供了基础.
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