临床医生对住院成环境中的患者门户的实施前看法:一种定性描述性研究
Sara Ling1, Iman Kassam2, Shaista Haider3
1Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada.
International journal of medical informatics
|November 3, 2023
概括
临床医生支持成环境中的患者门户进行参与,但建议短期停留的适应. 担忧包括治疗关系和信息相关性,并提出改善实用性的解决方案.
科学领域:
- 数字健康数字健康
- 心理健康信息学心理健康信息学
- 药物成治疗技术 技术
背景情况:
- 患者门户是为患者参与和赋权而建立的工具.
- 关于在住院精神卫生和成服务中实施患者门户的研究有限.
- 这项研究通过探索这些环境中的临床医生的观点来弥补这一差距.
研究的目的:
- 探索临床医生在住院成环境中实施患者门户的观点.
- 识别潜在的好处,挑战和必要的适应,以成功实现门户集成.
主要方法:
- 基于实施研究综合框架 (CFIR) 的定性描述性研究.
- 在多伦多的一家医院,与12名临床医生 (处方师,护士,相关卫生,领导) 进行了半结构面试.
- 使用针对性内容分析分析的数据与CFIR领域保持一致.
主要成果:
- 临床医生表达了积极的态度,预期患者的好处和医疗保健的一致性.
- 发现了关于门户在短期入院中的相关性和对治疗关系的潜在影响的担忧.
- 感知到的好处包括增强患者赋权,工作流程兼容性和获取文档/结果;建议的调整重点是文档模板和药物信息.
结论:
- 临床医生通常倾向于在成环境中实施患者门户.
- 适应对于解决治疗关系和短期住院期间信息相关性的担忧至关重要.
- 研究结果为优化患者门户在这些专业临床环境中的实用性提供了有价值的见解.
相关概念视频
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Ethical Standards II
683
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
683
Nursing Ethical Principles II
990
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
990
Specialized Care Centers and Settings-II
734
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...
734
Drug Abuse and Addiction: Pharmacological Phenomena
489
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
489
Patient-centered Care
2.0K
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...
2.0K


