学术与实践的伙伴关系,以预防和管理压力伤害:一个基于证据的质量改进倡议
Jo Ann Otts1,2,3,4,5, Joyce Pittman1,2,3,4,5, Bettina Riley1,2,3,4,5
1Jo Ann Otts, DNP, RN, NEA-BC, CENP, College of Nursing, University of South Alabama, Mobile.
概括
一个学术-实践伙伴关系改善了医院获得的压力损伤 (HAPI) 的预防. 虽然HAPI增加了,但严重的HAPI (3和4阶段) 显著下降,显示出有效的质量改善.
科学领域:
- 提高医疗保健的质量 改善医疗保健的质量
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 实施了基于证据的质量改进 (EBQI) 倡议,以评估学术实践 (A-P) 伙伴关系对急性护理质量措施的影响.
- 重点是改善学术医疗中心内医院获得的压力损伤 (HAPI) 的预防和管理.
研究的目的:
- 检查APP伙伴关系对HAPI预防和管理质量措施的影响.
- 在急性护理环境中实施基于证据的质量改善 (EBQI) 倡议.
- 培养在护理实践中研究和学术的文化.
主要方法:
- 一个前/后描述性设计,利用一个实践知情的积极学习计划.
- 一个AP委员会采用了参与行动研究,整合了基于证据的实践 (EBP) 模型.
- 综合性文献审查和差距分析确定了干预的关键领域.
主要成果:
- 79个基于证据的最佳HAPI实践被确定并按结构,过程和结果进行组织.
- 优先考虑了三个关键缺口,导致了诸如计划重组和专门专家招聘等干预措施.
- 虽然整体HAPI增长了6.3%,但严重的HAPI (3-4阶段) 则下降了9.9%.
结论:
- 该AP伙伴关系模式有效地解决了复杂的临床问题和质量改进目标.
- 这一举措促进了调查,奖学金和提高护理能力的文化.
- 这些发现表明,AP合作伙伴关系对于促进患者安全和临床结果具有价值.
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