结构化,护士领导的病房巡回改善专业间沟通和优化血管外科患者的护理:一个最佳实践实施项目
Nicholas Wee Siong Neo1,2,3, Yao Li1, Ailene Bandoy Salazar1
1Nursing Department, National University Heart Centre, Singapore.
JBI evidence implementation
|October 17, 2023
概括
护士主导的病房巡回 (NLWRs) 改善了专业间的沟通和患者参与护理. 这一举措增强了护士的实力.
科学领域:
- 护理实践 护理实践
- 提高质量 提高质量
- 医疗保健管理的管理
背景情况:
- 病房回合对于住院护理讨论是必不可少的.
- 护士带领病房巡回 (NLWRs) 是一种以团队为基础的模型,显示出积极的结果.
研究的目的:
- 在心血管部门实施和评估护士带领病房巡视 (NLWR).
- 评估NLWR对专业间沟通,患者参与和临床结果的影响.
主要方法:
- 使用JBI证据实施框架的试点项目指导了NLWR的引入.
- 利益相关者的反以NLWR格式 (频率,准备,协调,内容) 为基础.
- 基线和六个月审计评估了符合NLWR标准的情况.
主要成果:
- 在沟通和协作标准方面实现了100%的合规性.
- 患者参与病房巡视的比例从30%增加到46.7%.
- 医院住院时间,"最佳医疗疗法"率和住院并发症的改善.
- 护士报告说,在统计学上显著增加了领导讨论的信心 (p=0.026).
结论:
- 审计和反周期,以及上下文化策略,增强了NLWR合规性.
- 护士支持和沟通培训提高了信心和高质量的患者护理.
- 在改善沟通,患者参与和临床结果方面,NLWRs是有效的.
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