补充干预对重新设计护理对团队合作和住院医疗患者质量的影响:实用控制试验
Kevin J O'Leary1, Julie K Johnson2, Mark V Williams3
1Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois (K.J.O., G.R.S., J.S.K.).
Annals of internal medicine
|October 30, 2023
概括
改善医院护理团队合作的干预措施并没有显著改善患者的结果,尽管护士们报告说,团队合作的气候更好. 需要进一步的研究来提高护理的提供.
科学领域:
- 医疗保健管理的管理
- 改善患者护理的改善
- 医学的团队合作.
背景情况:
- 住院患者面临的挑战是由于分散的跨专业团队合作.
- 高质量的护理服务往往受到沟通和协作障碍的阻碍.
研究的目的:
- 评估重新设计的医院护理交付干预措施对团队合作和患者结果的影响.
- 评估旨在改善医疗单位专业间合作的具体策略.
主要方法:
- 在4家美国医院进行了实用控制试验,包括干预和控制单位.
- 干预措施包括指导医生团队,护士-医生联合领导,增强的回合,绩效报告和患者参与.
- 差异差异分析比较了干预前后的结果.
主要成果:
- 护士报告说,干预后的团队合作气候明显改善 (P=0.022).
- 干预和对照单位之间的不良事件,停留时间,再入院或患者体验没有显著差异.
- 不良事件发生率低于预期,可能限制了统计能力.
结论:
- 虽然干预措施增强了护士之间的团队合作氛围,但它们并没有导致患者结果的显著改善.
- 当前的护理重新设计策略可能需要进一步改进,以有效地影响更广泛的患者护理指标.
- 该研究强调了改善跨专业团队合作及其转化为医院环境中的患者结果的复杂性.
相关概念视频
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Nursing Interventions I: Taxonomy of Nursing Interventions
2.6K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
2.6K
Methods of Documentation VI: Case Management Model
579
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...
579
Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11


