护士驱动的跨专业轮:改善护理协调和停留时间
Anna Ivy Park1, Frederick Lansigan1, Lixi Kong1
1Dartmouth Hitchcock Medical Center.
Clinical journal of oncology nursing
|September 7, 2023
概括
护士驱动的跨专业轮次 (IPR) 改善了瘤病房的及时出院和患者流动. 虽然住院时间变异没有显著减少,但下午2点出院和患者转移显著改善.
科学领域:
- 在瘤学瘤学.
- 改善医疗保健质量 改善医疗保健质量
- 患者护理管理 患者护理管理
背景情况:
- 住院瘤病房管理复杂的患者,需要结构化的护理协调.
- 有限的瘤病床可用性可能导致专业护理的延迟.
- 有效的护理协调对于优化瘤学患者的治疗结果至关重要.
研究的目的:
- 实施和评估护士驱动的跨专业轮次 (IPRs),以加强护理协调.
- 减少住院时间 (LOS) 并改善住院瘤病房的出院时间.
- 改善患者流动和获得社区护理的机会.
主要方法:
- 建立了加强的跨专业轮次 (eIPRs) 与护士驱动的协调.
- eIPR包括放电日期估计,与基准对比LOS和障碍物识别.
- 评估了eIPRs对LOS,出院时间,患者流动和护理协调的影响.
主要成果:
- 在统计学上,LOS变异的减少没有显著意义 (15.8%的所有单位,44.1%的血液学和瘤学).
- 到下午2点,所有单位和血液瘤学群体的出院情况显著改善.
- 患者流量的显著改善,由血液病瘤学服务的接受转移增加表明.
结论:
- 增强的专业间巡回会议在改善瘤病房内的出院及时性和患者流动方面表现有前途.
- 可能需要进一步的策略,以显著影响停留时间的差异.
- 在IPR中,护士驱动的护理协调积极影响瘤患者管理的关键方面.
相关概念视频
Nursing Clinical Information System
812
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
812
Fundamentals of Nursing Process II
3.6K
There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
3.6K
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Interdisciplinary Care: The Health Care Team-I
1.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.7K
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Types of Reports I: Hands-off Report
940
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
940


