在急性住院精神卫生机构中以患者为中心的医疗保健规划:一项最佳实践实施项目
Corina Gagiu1,2,3, Doina C Mazilu1,2, Mariana Zazu1
1The Order of Nurses, Midwives and Medical Assistants in Romania Bucharest Branch, Romanian Centre for Nursing Research: A JBI Centre of Excellence, Bucharest, Romania.
实施量身定制的策略显著改善了成人住院患者的精神卫生保健规划 (MHCP) 的基于证据的实践 (EBP),实现了所有经过审计的标准的100%合规性.
科学领域:
- 护理 护理 护理
- 改善医疗保健质量 改善医疗保健质量
- 基于证据的实践.
背景情况:
- 在护理护理计划中实施基于证据的实践 (EBP) 对提高患者护理质量和满足法律要求至关重要.
- 成年住院患者的心理健康护理规划 (MHCP) 需要遵守最佳实践,以获得最佳结果.
研究的目的:
- 通过促进成人住院患者在MHCP中的EBP来提高医疗保健质量.
- 评估和加强在精神病学环境中遵守EBP标准.
主要方法:
- 在急性精神病医院使用JBI证据实施方法.
- 对7个EBP标准进行了基线和后续审计,涉及17名护士和30名患者.
- 实施了有针对性的战略,以解决发现的合规缺口.
主要成果:
- 基线合规性各不相同,综合护理计划和患者参与度的得分较低 (33%-37%).
- 对于所有患者的护理计划,观察到适度遵守 (55%).
- 在患者需求评估,教育,出院副本和专业教育方面观察到高基线合规性 (97%-100%).
- 在实施后,所有最初缺陷的标准都实现了100%的合规性.
结论:
- 定制策略,包括护士教育和改善对EBP资源的访问,是成功实施EBP的关键.
- 有效的干预措施可以显著提高对MHCP标准的遵守.
- 该项目展示了在心理健康护理中改善EBP的成功模式.
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