护理合作伙伴参与糖尿病患者及其临床医生之间的安全消息传递:队列研究
Wagahta Semere1,2,3, Andrew J Karter4, Courtney R Lyles1,2
1Department of Medicine, University of California San Francisco, San Francisco, CA, United States.
JMIR diabetes
|February 9, 2024
概括
使用安全消息 (SM) 的护理合作伙伴增加了老年糖尿病患者与临床医生的接触. 然而,这并没有减少不同患者群体中SM使用现有的差异.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 糖尿病管理 糖尿病管理
背景情况:
- 通过安全消息 (SM) 参与患者改善糖尿病的结果.
- 在老年和服务不足的人群中,SM使用的差异存在.
- 护理合作伙伴可能有助于缓解这些差异,但它们对SM使用的影响尚不清楚.
研究的目的:
- 根据护理合作伙伴代理参与,检查安全消息 (SM) 使用是否在老年糖尿病患者中不同.
- 研究护理合作伙伴在增强糖尿病护理患者-临床医生电信方面的作用.
主要方法:
- 参与ECLIPPSE项目的子研究,该项目涉及年龄≥50岁的2型糖尿病患者,使用数字患者门户.
- 通过注册的代理和未注册的代理的计算语言学算法识别了代理SM使用.
- 主要结果:每年安全消息 (SM) 的数量;次要结果:第一个SM的时间和每年SM交换的数量.
主要成果:
- 近一半的患者 (49%) 使用了SM的代理.
- 代理用户年龄较大,教育程度较低,并有更多的并发症.
- 与非用户相比,代理用户的年度SM量显著增加,SM启动时间较早,交换次数更多.
结论:
- 代理参与安全消息传递 (SM) 与糖尿病老年人患者与临床医生的沟通强度增加有关.
- 护理合作伙伴增强了电信,但似乎没有减少现有的中小企业差距.
- 未来的研究应该探索护理合作伙伴SM参与对糖尿病护理质量和临床结果的影响.
相关概念视频
01:18Guidelines and Strategies for Safe Computer Charting
806
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
806
01:25Ethical Standards I
813
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
813
01:14SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
01:23Nurses' Legal Responsibilities II
711
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
711
01:23Ethical Standards II
676
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
676
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.9K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.9K