对于以斯帖来说,什么是最好的? 一个简单的问题,它会改变人们的思维方式,并改善护理
Nicoline Vackerberg1,2, Ann- Christine Andersson3, Anette Peterson3,4
1Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Jönköping, Sweden. nicoline.vackerberg@rjl.se.
BMC health services research
|August 17, 2023
概括
通过联合制作和以人为中心的方法,可以改善对有多种需求的个体的护理协调. 这项长期研究表明,整合服务如何提高患者的治疗结果,并简化医疗保健的提供.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 导航分散的健康和福利系统对需要从多个提供者提供服务的个人来说带来了重大挑战.
- 在不同的健康和福利组织之间协调护理是所有利益相关者的复杂,持续的问题.
- 瑞典-ESTHER项目提供了一个独特的,长达二十年的区域案例研究,以解决这些组织间的护理挑战.
研究的目的:
- 增强对多个护理提供者之间的协作努力如何可以导致改善患者护理的理解.
- 探索如何将护理改进概念转化为现实世界中可持续的日常实践.
- 为面临类似整合问题的其他健康和福利环境提供实用见解和可转移策略.
主要方法:
- 一个追溯的纵向案例研究,采用定性混合方法方法.
- 数据收集涉及个人采访,与工作人员和患者聚焦小组,以及文档分析.
- 从1995年到2020年的经验分析利用了一个开放的,诱导性的专题分析.
主要成果:
- 联合生产和以人为中心,以质量改善战略为指导,显著改善了对有复杂需求的患者的护理.
- 持续改进需要培养系统思维,管理变革心理学,并促进多学科对话.
- 成功的关键因素包括对前线人员的信任,明确的运营准则,高级管理层的支持和持续的学习.
结论:
- 统一的问题是:"什么对埃斯帖来说是最好的? ",简化了决策,促进了各种护理提供者之间的合作.
- 持续关注与患者的联合制作以及前线工作人员的参与对于加强护理模式至关重要.
- 宽容的领导和采用质量改进原则,以及让那些知识最丰富的人 (前线工作人员和患者) 参与其中,促进了成功的整合和改善的护理服务.
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