专业能力框架的批判性评估:对于管理"复杂性"的中风康复临床医生,提供了哪些指导?
Alyssa Indar1, Michelle Nelson1,2, Whitney Berta1
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Journal of multimorbidity and comorbidity
|November 29, 2023
概括
临床医生的能力框架为管理复杂的患者护理需求提供了有限的指导. 整合复杂性概念可以更好地为医疗保健专业人员准备复杂的患者病例,并加强专业知识的发展.
科学领域:
- 医疗保健管理的管理
- 临床专业知识开发 临床专业知识开发
- 患者的复杂性患者的复杂性
背景情况:
- 医疗保健系统面临越来越多的复杂护理需求的患者.
- 研究历来排除了复杂或多病症患者,导致缺乏临床决策的证据.
- 专家临床医生表现出卓越的护理,这表明需要了解他们的专业知识发展.
研究的目的:
- 审查核心住院中风康复团队成员的专业特定能力框架.
- 评估为管理具有复杂护理需求的患者提供的指导的程度.
- 在这些框架内确定患者复杂性,多病症和复杂性理论的参考.
主要方法:
- 对住院中风康复团队的专业能力框架的审查.
- 开发和应用一个评估标题.
- 对患者复杂性,多病症和复杂性理论的参考分析.
主要成果:
- 能力框架包含一些对患者和团队层面复杂性的引用.
- 对于系统层面的复杂性,发现的引用较少.
- 发现,对于管理复杂护理需求的临床医生而言,显著缺乏明确的指导.
结论:
- 需要进一步的研究,以了解临床医生如何开发管理复杂患者护理的专业知识.
- 专业能力框架目前在这个领域提供了最低限度的指导.
- 将与复杂性相关的语言整合到框架中可能会改善新手临床医生的准备和工作场所的整合.
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