挂在墙上的折叠椅,以促进住院医生坐在医院的床边
Blair P Golden1, Sean Tackett2,3, Kimiyoshi Kobayashi4
1Department of Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Journal of hospital medicine
|January 20, 2024
概括
将折叠椅子添加到病房中显著增加了在床边坐着的住院医生. 这种简单的干预措施改善了患者与临床医生的沟通,并随着时间的推移而持续.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
- 医学教育研究 医学教育研究
背景情况:
- 临床医生坐在病床旁可以增强患者与临床医生的沟通.
- 许多临床医生在住院治疗期间并不总是坐着.
- 坐在床边的障碍需要实际的解决方案.
研究的目的:
- 评估挂在墙上的折叠椅对住院医生的床边坐椅的影响.
- 要独立于居民教育活动来评估这种影响.
- 为了测量患者报告的临床医生坐的频率.
主要方法:
- 在一个学术医院进行前期的,受控的前后试验.
- 在四个内科病房中的两个病房安装折叠椅.
- 患者报告的结果使用利克特类型尺度 (1=从未,5=每次).
主要成果:
- 带有椅子的单位显示,患者报告的坐着时间增加得更大 (OR 2.05).
- 在花费足够的时间和检查理解方面也观察到显著的改善.
- 在干预和控制单位中,行为改善持续.
结论:
- 挂在墙上的折叠椅是一种实用的干预措施,以促进临床医生坐在床边.
- 这种干预措施可能会提高患者与临床医生的沟通效率.
- 持续的改善表明患者护理的长期好处.
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