应急部门的失调管理:使用概念映射来识别可操作的变化,以改善服务
Pranika B Lal1,2, Elizabeth C Ward3,4, Laurelie R Wishart3,4
1School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia. Pranika.Lal@health.qld.gov.au.
Dysphagia
|January 11, 2024
概括
在急诊室 (ED) 改善语音语言病理学 (SLP) 服务需要更好的患者识别,沟通,团队合作和培训. 清晰的SLP文档是最佳的失调管理的关键.
科学领域:
- 紧急医疗 紧急医疗
- 语音语言病理学 语言病理学
- 医疗保健管理的管理
背景情况:
- 在急诊室 (ED) 的综合语音语言病理学 (SLP) 服务可以改善失语症的管理.
- 在ED环境中,患者和物流方面面临着独特的挑战,以实现最佳的缺食症转诊和护理.
- 这项研究旨在通过利益相关者的参与来确定可行的目标,以加强ED失调症的管理.
研究的目的:
- 让ED利益相关者参与,以确定优先考虑的,可执行的目标,以改善食障碍管理.
- 了解ED-based dysphagia服务中增强的关键领域.
主要方法:
- 在16个ED利益相关方 (SLP,医疗,护理,领导) 采用了概念绘图方法.
- 半结构面试产生了行动陈述,然后根据重要性和可变性进行排序和排名.
- 多维缩放和等级集群分析将数据组织成主题集群.
主要成果:
- 确定了53个独特的陈述,并将其分为8个集群.
- 变革的三个总体方面出现了:改善识别/推/沟通,加强团队合作,以及更好的人员/培训.
- 确定了17个具有高度优先级的可采取行动声明,其中"SLP的清晰文档:建议"被评为最高.
结论:
- 提供服务的多个方面需要修改,以改善ED的失调转诊和管理.
- 优化ED失调服务需要SLP和多学科ED团队之间的协作行动.
- 专注于沟通,团队合作和资源对于提高紧急情况下的失消症护理至关重要.
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