利用量身定制的方法对健康相关的社会需求进行标准化查
Qaashuntae C Wright1, Clareen A Wiencek, Ishan C Williams
1Author Affiliations: Intensive Care Unit, David Grant Medical Center, Fairfield, California (Dr Wright); and School of Nursing, University of Virginia, Charlottesville (Drs Wiencek and Williams).
Journal of nursing care quality
|September 20, 2023
概括
将社会需求查整合到血液透析护理中,确定未满足的患者需求. 一个标准化的工具和推过程改善了健康的社会决定因素 (SDoH) 识别和推.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 临床实施科学 临床实施科学
背景情况:
- 健康的社会决定因素 (SDoH) 意识正在增加,但将其纳入医疗保健实践仍然不一致.
- 门诊血液透析诊所往往缺乏标准化的社会需求查工具.
研究的目的:
- 在门诊血液透析环境中实施和评估标准化的社会需求查和转诊过程.
- 解决血液透析患者在识别和解决社会需求方面的差距.
主要方法:
- 利用基于改进模型的计划-做-研究-行动 (PDSA) 周期.
- 实施了核心5 SDoH选工具和员工推工作流程.
- 进行了对实施过程和工具可用性的评估.
主要成果:
- 选了73名患者,在21个人中确定了32个未满足的社会需求.
- 所有患有确定的需求的患者都获得了社区资源的转介.
- 护士报告说,查工具和转诊过程的接受度和可用性很高.
结论:
- 一个标准化的,与工作流程集成的查和转诊过程有效地提高了血液透析患者的社会需求的识别.
- 成功实施表明在专门的临床环境中解决SDoH的可行模型.
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