提高哈萨克斯坦的护理文档:评估利用和标准化,以改善患者护理
Bibinur Sydykova1, Dariga Smailova2, Zaituna Khismetova1
1Semey State Medical University, Semey, Kazakhstan.
Frontiers in public health
|December 11, 2023
概括
哈萨克斯坦的护理文件和标准操作程序显示使用有限,但对患者护理产生积极影响. 改善采用需要解决意识,资源和对变化的抵抗,以获得更好的医疗保健结果.
科学领域:
- 护理信息学 护理信息学
- 医疗保健管理的管理
- 临床实践标准 临床实践标准
背景情况:
- 在科学医学中,全面的护理文档至关重要.
- 欧洲医疗保健系统越来越多地采用标准化术语.
- 本研究评估了在哈萨克斯坦医疗改革中的护理文档和标准操作程序 (SOP) 的使用情况.
研究的目的:
- 评估在哈萨克斯坦使用护理文档表格和标准操作程序的水平.
- 了解这些工具在医疗改革的背景下所产生的影响.
主要方法:
- 在哈萨克斯坦,从2021年12月到2022年2月进行了一项跨部门研究.
- 随机选择的2,263名来自不同教育背景的护士样本参与了调查.
- 数据收集涉及评估特定护理文档和标准操作程序的认识和使用情况.
主要成果:
- 对于护理角色和计划的认识有所不同 (例如,试点护理服务的认识率为64.7%,国际临床护理分类的认识率为55.2%).
- 使用特定的检查清单和算法是有限的,许多护士没有使用诸如四肢胀测量 (88.4%) 或MACS分类 (90.9%) 等工具.
- 在54.5%的参与者中,由于教育而导致护理方法的变化被观察到,这表明了一些教育影响.
结论:
- 哈萨克斯坦的护理文档和标准操作程序在使用方面面临挑战,但对患者的护理有积极的影响.
- 克服对变化的抵抗,提高意识,解决资源限制是改善采用的关键.
- 成功实施对于在改革框架内推进患者护理和医疗保健成果至关重要.
更多相关视频
相关概念视频
01:26Guidelines for Nursing Documentation II
1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
01:30Guidelines for Nursing Documentation I
1.1K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.1K
01:28Formats for Nursing Documentation
1.0K
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
1.0K
01:29Documentation in Long-Term and Home Healthcare Setting
893
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
893
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
1.3K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.3K
01:20Introduction to Documentation and Reporting
2.0K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
2.0K