低价值的家庭护理:一项全国调查研究
Benjamin Wendt1, Milou Cremers2, Erwin Ista2
1Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
Journal of advanced nursing
|November 20, 2023
概括
许多低价值的护理实践发生在家庭护理中,受到从业者建议和客户要求等因素的影响. 减少这些做法可以提高护理质量和可持续性.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 家庭护理正在扩大,需要对护理效率进行评估.
- 并非所有提供的护理服务都是有效或高效的,导致价值较低的做法.
- 减少低价值护理可以提高效率,工作满意度,患者安全和医疗保健可持续性.
研究的目的:
- 为了确定低价值的家庭护理护理实践.
- 为了确定这些做法的普遍性.
- 探索影响护士和护士助理提供这些服务的因素.
主要方法:
- 定量,横截面的研究设计.
- 在线调查,使用利克特级别和开放式问题对护士和护士助理进行调查.
- 使用描述性统计和线性回归分析的数据.
主要成果:
- 776名医疗保健专业人员在全国范围内参加.
- 最重要的低价值实践包括常规洗,默认使用奶油,每天从头到脚洗,尿导管袋重复使用和膀灌.
- 影响因素包括从业者的建议,护理计划指令,客户要求,团队习惯和取悦客户的愿望.
- 高等教育和40岁以上的年龄与较少的低价值护理有关.
结论:
- 在家庭护理环境中,经常存在低价值的护理实践.
- 诸如有限的临床自主性和管理客户需求等因素有助于这些做法.
- 调查结果为制定退出实施策略的基础,以减少低价值护理.
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