阐明日本对远程临床护理服务的需求:一项定性研究
Mizuki Morimoto1, Nobutoshi Nawa2, Eriko Okada3,4
1Department of Medical Education Research and Development, Tokyo Medical and Dental University, Tokyo, Japan.
BMJ open
|November 20, 2023
概括
前线医生因缺乏专业知识和医院接入而寻求远程临床护理. 专注于治疗,分组和诊断的建议,根据患者病理学而异,以改善重症监护服务.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 二级护理机构的前线医生在管理重症患者时经常面临挑战.
- 在非三级保健机构中,获得专家咨询的机会可能受到限制.
- 远程临床护理服务旨在通过提供远程专家支持来弥合这一差距.
研究的目的:
- 为了确定主要原因,前线医生咨询远程临床护理服务.
- 分析一线医生寻求的咨询类型.
- 了解患者病理和提供咨询的性质之间的关系.
主要方法:
- 进行了对70个匿名的远程临床护理咨询记录 (大约15小时) 的二次分析.
- 使用主题内容分析来确定咨询的原因,咨询类型和患者病理相关性.
- 咨询发生在2019年12月至2021年4月期间,涉及前线医生和重症监护医生.
主要成果:
- 咨询的主要原因包括"缺乏治疗和诊断测试能力"和"无法在自己的医院内接受咨询".
- 医生最常寻求关于"治疗"的建议,其次是"患者分拣和转移"",诊断"和"诊断测试和评估".
- 提供的具体建议因患者的潜在病理学而有很大差异.
结论:
- 远程临床护理解决了对专业知识和获得二级护理专家建议的关键需求.
- 了解咨询驱动因素和咨询模式对于优化远程临床护理服务提供至关重要.
- 这些发现可以为未来的远程临床护理计划的发展和扩展提供信息.
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