密集护理和初级护理之间的护理碎片化以及改善机会
Nina Leggett1,2, Kate Emery2, Thomas C Rollinson3,4
1Department of Critical Care, The University of Melbourne, Parkville, Victoria, Australia nleggett@student.unimelb.edu.au kimberley.haines@wh.org.au.
Thorax
|August 24, 2023
概括
在从重症监护室 (ICU) 到初级保健的护理过渡中存在差距,影响患者及其家人. 解决碎片化和沟通问题对于改善ICU后恢复和支持至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 患者在护理中的转变
背景情况:
- 在重症监护室 (ICU) 后的护理过渡是复杂的,通常是分散的.
- 脆弱的患者群体需要在重症监护和初级保健之间进行无整合.
- 现有的研究往往忽视了患者,护理人员和前线临床医生在这些过渡期间的经历.
研究的目的:
- 在从重症监护室 (ICU) 过渡到初级护理期间识别和描述护理缺口.
- 了解患者,护理人员,重症治疗师和全科医生 (GP) 对这些转变的看法.
- 为旨在改善ICU后护理整合的干预措施的发展提供信息.
主要方法:
- 与46名参与者进行了半结构面试:15名患者,8名护理人员,15名重症专家和8名全科医生.
- 参与者被故意抽取样本,以确保多样性.
- 对文本数据进行了框架分析,确定了卫生系统,临床医生和患者/护理人员因素的关键主题.
主要成果:
- 八个主题揭示了严重的碎片化,沟通缺口,以及缺乏专门的ICU后续途径.
- 确定的问题包括对ICU后需求的认识有限,临床医生的角色不清楚,以及患者自主性和护理人员支持方面的挑战.
- 一个概念模型强调了医院和初级保健之间的双向反循环,强调了系统的相互依赖.
结论:
- 本研究从多个利益相关方的角度阐明了在ICU后过渡期间经历的临床关怀差距.
- 调查结果强调需要改善ICU,医院和初级保健机构之间的护理协调和沟通.
- 确定的焦点为未来的干预研究提供了基础,以加强对这种服务不足的患者队伍的护理.
关键词:
关键的护理关键的护理相关概念视频
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