临终关怀机构对护理流程的影响:一项回顾性队列研究
Everlien de Graaf1, Matthew Grant1, Frederieke van der Baan1
1Centre of Expertise in Palliative Care Utrecht, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands.
The American journal of hospice & palliative care
|January 18, 2024
概括
结构化的宿舍护理,包括文档和多学科会议,增加了记录的病人护理过程的数量和广度. 这些组织结构可以改善沟通和患者护理文档.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 临终关怀组织的临终关怀组织.
背景情况:
- 息护理提供表现出显著的差异,可能受组织结构的影响.
- 这些结构对护理流程和患者结果的影响仍未得到充分研究.
- 了解组织影响对于提高宿舍护理质量至关重要.
研究的目的:
- 调查组织护理结构与宿舍环境中护理过程的范围之间的关联.
- 确定与改善患者护理文档相关的特定护理结构.
- 为优化宿舍组织模型提供证据.
主要方法:
- 追溯队列研究的设计.
- 从荷兰临床病例记录和临床调查中收集的数据.
- 对护理结构 (文件,多学科会议) 和记录的护理流程进行分析.
主要成果:
- 有结构化的多学科会议的宿舍显示了更多的记录干预,监测和评估.
- 结构化的临床文档也与入院时记录的护理流程的增加有关.
- 结构化文档对护理流程的积极影响在死亡之前不那么一致.
结论:
- 组织结构,如结构化文档和多学科会议,与更多数量和范围的记录护理流程有关.
- 实施这些结构可能会提高患者护理的文档.
- 改进的文档可能会导致临终关怀中更好的沟通和协调.
相关概念视频
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Documentation in Long-Term and Home Healthcare Setting
892
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
892
Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574
Ethical Issues
968
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
968
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K


