整合基于医院的减伤护理-利用护理模式
Amelia Goff1, Susannah Lujan-Bear1, Hope Titus1
1Section of Addiction Medicine, Department of Medicine, Oregon Health and Science University, Portland, OR, USA.
Substance use & addiction journal
|January 23, 2024
概括
医院现在可以通过护士领导的计划提供危害减轻 (HR) 服务. 这一倡议成功地将人力资源干预措施,包括安全使用用品,纳入医院护理,改善患者服务和员工支持.
科学领域:
- 公共卫生 公共卫生
- 护理 护理 护理
- 成 药物 药物 药物 药物
背景情况:
- 医院对吸毒者构成风险,往往缺乏物质使用障碍 (SUD) 护理和减少危害 (HR) 干预措施.
- 医院的层次结构和员工的耻辱感可能会阻碍人力资源实践的采用.
- 护士有很好的地位,可以在医院环境中捍卫和提供人力资源护理.
研究的目的:
- 描述在美国一家医院开发和早期实施注册护士 (RN) 领导的人力资源干预的过程.
- 将人力资源理念和实践融入传统医院结构.
- 评估护士领导的人力资源计划的可行性和最初的接待.
主要方法:
- 利用探索,准备,实施和维持 (EPIS) 框架进行模型开发.
- 从医疗补助支付人那里获得了RN工资和人力资源用品的试点资金.
- 参与了医院领导,护士冠军,法律顾问,并进行了员工范围内的媒体活动和培训.
- 与专家合作开发临床人力资源教育和员工培训模块.
主要成果:
- 由RN领导的HR干预计划从2022年9月到2023年3月实施.
- 459名工作人员在15个会议中接受了培训.
- 进行了209次患者接触,患者和工作人员的接待总体上是积极的.
- 最初有争议的安全使用物资的分发得到了欢迎.
结论:
- 由护士领导的医院 HR 干预是可行的,可以扩大患者服务.
- 这种模式支持医院工作人员,有效地弥合了减少伤害和医疗保健模式.
- 早期的经验表明,在医院环境中,人力资源干预措施的成功整合和接受.
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