在护士带领的护理环境中远程医疗的最佳实践 - - 一项定性研究
Charlotte R Weiss1, Mia Roberts1, Melissa Florell1
1College of Nursing, University of Colorado, Denver - Anschutz Medical Campus, Denver, CO, USA.
Policy, politics & nursing practice
|September 26, 2023
概括
在护士主导的护理场所实施远程医疗通过调整服务以满足不同患者需求,提高了健康公平性. 关键实践包括使用多种通信方法和量身定制的护理,以改善访问和安全.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 健康 公平 卫生 公平
背景情况:
- 由于COVID-19大流行,需要在为不同人群服务的护士领导的护理机构快速过渡到远程医疗.
- 了解患者和提供者体验对于优化这些模型中的远程医疗至关重要.
- 交叉性为分析远程医疗实践的地理差异提供了一个框架.
研究的目的:
- 在科罗拉多州的护士主导的护理模式中确定远程医疗实施的最佳实践.
- 探索患者和提供者对突然转向远程医疗的观点.
- 通过优化远程医疗战略,增强健康公平.
主要方法:
- 探索性/描述性的定性研究设计.
- 针对18名提供者和30名患者进行了有目的的抽样.
- 采访以RE-AIM实施和评估框架为指导.
- 文本主题分析和反思式团队策略用于解释.
主要成果:
- 最佳实践的四个主要主题出现了:多式联络,量身定制的分拣/安排,通过边界的安全性和差异化患者关系.
- 远程医疗在提高公平护理提供方面表现出灵活性.
- 地理差异影响了人们对远程医疗实践的感知效果.
结论:
- 远程医疗是改善护士主导护理模式中的健康公平的一个有力工具.
- 护士领导者在制定远程医疗政策和创新方面发挥着至关重要的作用.
- 战略实施可以确保远程医疗提供安全,可访问,高质量的医疗保健.
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Nurses' Legal Responsibilities II
736
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
736
Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
Specialized Care Centers and Settings-II
749
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
749
Documentation in Long-Term and Home Healthcare Setting
909
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
909
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K


