在围产环境中预先计划护理:使用规范化过程理论进行实施的国家调查
Karen L Shaw1, J Spry2, Carole Cummins2
1Institute of Applied Health Research, University of Birmingham, Birmingham, UK k.l.shaw@bham.ac.uk.
Archives of disease in childhood. Fetal and neonatal edition
|September 14, 2023
概括
围产期预先护理计划 (PnACP) 在英国和爱尔兰的实践中显示出差异. 需要改善整合和员工培训,以支持面临难以做出决定的家庭,因为婴儿有生命限制条件.
科学领域:
- 产周医学 产周医学
- 医疗保健政策 医疗保健政策
- 临床实践中的临床实践
背景情况:
- 围产期预先护理计划 (PnACP) 帮助有生命限制胎儿疾病的家庭.
- 政策建议PnACP,但对围产阶段实施的证据有限.
研究的目的:
- 调查英国和爱尔兰的孕产妇服务提供者,了解目前的PNACP运行情况.
- 为了确定"什么"被实施,流程,影响和支持需求.
主要方法:
- 在线调查问卷分发给90个英国和爱尔兰组织的108名卫生专业人员.
- 使用描述性统计,主题分析和规范化过程理论分析数据.
主要成果:
- 在PnACP的概念化和实施中观察到显著的差异.
- 现有的PNACP工具并未被例行嵌入;许多障碍影响了护理质量.
- 专业人士呼吁更好地整合息护理和加强员工培训.
结论:
- 优先事项包括分享PNACP的最佳实践.
- 需要有效的策略来应对周产期护理中时间敏感,不确定的决策.
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