利用2022年瘤导航实践标准修订混合瘤导航实践模型
1Sidney Kimmel Cancer Center, Philadelphia, Pennsylvania.
Seminars in oncology nursing
|February 23, 2024
概括
一项工作任务分析显示,60%的瘤导航任务符合专业标准. 这项研究强调了优化导航角色和改善患者护理一致性的机会.
科学领域:
- 瘤科 护理 护理专业
- 医疗保健管理的管理
- 专业实践标准 专业实践标准
背景情况:
- 瘤护理学会 (ONS) 制定了2022年瘤专业实践导航标准,以指导角色划分.
- 不一致的导航服务和低于最佳的资源利用可能来自不清楚的角色.
- 确定不同的责任对于有效的瘤导航至关重要.
研究的目的:
- 通过使用ONS标准,与四个独立的导航团队进行工作任务分析.
- 确定一个核心的工作地图,在不同的导航角色中对准技能,经验和知识.
- 为临床护士导航员,社会工作导航员和患者导航员划分角色.
主要方法:
- 与四个不同的瘤导航团队进行了独立的工作任务分析.
- 患者导航员和临床护士导航员在两周内报告了任务.
- 团队讨论并确定了任务与ONS标准的协调,考虑到角色和技能水平.
主要成果:
- 60%的分析任务符合ONS标准,无论是角色还是护理水平.
- 30%的护士是按角色而定,而不是按护理水平而定,护士导航员执行许多非护理任务.
- 百分之十的任务超出了定义的导航范围.
结论:
- 确定的机会包括正式制定瘤委员会管理标准,创建核心指标模型,标准化医疗记录检索和探索替代人员模型.
- 工作任务分析有助于对导航员角色和工作范围进行批判性评估.
- 这种结构化的方法支持识别变化和推进导航实践.
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