从医院到家庭的过渡:一项混合方法研究,评估乌干达的儿科出院情况
Olive Kabajaasi1, Jessica Trawin2, Brooklyn Derksen3
1Walimu, Kampala, Uganda.
PLOS global public health
|September 13, 2023
概括
乌干达的儿科出院规划往往不理想,缺乏护理人员的投入和早期启动. 改善沟通和专注于出院后的护理对于更好的儿童健康结果至关重要.
科学领域:
- 全球健康 全球健康
- 儿科医疗保健 儿科医疗保健
- 卫生系统研究 卫生系统研究
背景情况:
- 世界卫生组织关于儿童疾病综合管理的指导方针强调出院计划,以确保护理的连续性.
- 医院中不理想的出院计划阻碍了对儿童的有效住院后护理.
- 了解儿科出院的障碍对于改善低资源环境中的儿童健康结果至关重要.
研究的目的:
- 评估乌干达医院的儿科出院过程,从入院到社区护理过渡.
- 确定出院计划不足最佳的原因及其对儿童健康结果的影响.
主要方法:
- 这是一项混合方法前性研究,涉及92名参与者,分三个阶段:患者旅程绘制 (32名儿童),出院过程绘制 (24名医护人员) 和焦点小组讨论 (36名护理人员/父亲).
- 收集数据的描述性和主题分析.
主要成果:
- 出院过程往往不是以儿童或家庭为中心的,规划往往开始迟,不包括护理人员的投入.
- 出院教育是有限的,很少涉及父亲,不充分地解决出院后的护理或随访问题.
- 延迟发生在多个点,包括行政流程,计费和运输,影响及时过渡.
结论:
- 退院前不良护理严重阻碍了乌干达儿童的最佳健康结果.
- 关键的改进包括早期出院规划,加强医疗保健工作者与护理人员的沟通,并更加关注出院后的护理.
- 这些干预措施对于确保康复儿童从医院安全过渡到家庭护理至关重要.
相关概念视频
01:31Discharge Summary Forms
781
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
781
01:29Documentation in Long-Term and Home Healthcare Setting
916
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
916
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:15Nursing Evaluation
3.4K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.4K
01:15Methods of Documentation VI: Case Management Model
597
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
597
01:21Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K