达成共识,以人为中心的交付实践在紧急部门的定义:一个修改的在线Delphi
Santel de Lange1, Tanya Heyns1, Celia Filmalter1
1Department of Nursing Science, University of Pretoria, Pretoria, South Africa.
Journal of clinical nursing
|February 28, 2024
概括
专家们为紧急部门定义了以人为中心的交付实践. 标准化定义对于改善患者护理和加强以人为中心的护理的提供至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 改善医疗保健质量 改善医疗保健质量
- 患者为中心的护理
背景情况:
- 交接实践在急救部门 (ED) 中至关重要,但通常需要精心执行.
- 以人为中心的移交实践有可能在ED环境中显著改善以人为中心的护理服务.
研究的目的:
- 为了在"以人为中心的移交实践"的定义和关键属性上达成共识,特别是在紧急部门的背景下.
- 建立一个基本的理解,以实施改进的交付协议.
主要方法:
- 采用了三轮的Delphi在线调查方法.
- 九位国际专家参与了这项研究,对数据进行了定量 (描述性) 和定性 (主题) 分析.
- 对于属性和定义的接受,需要达到80%的共识值.
主要成果:
- 专家的共识从第一轮的79%增加到第二轮和第三轮的95%.
- 制定了以人为中心的移交实践的最终定义.
- 专家小组同意了这些实践的六个基本属性.
结论:
- 在紧急部门中,以人为中心的交付实践尚未得到广泛实施.
- 实施这些做法可以增强以人为中心的护理,为患者和医疗保健从业人员带来巨大的好处.
- 定义的标准化是朝着更广泛的实施和改善患者结果迈出的重要第一步.
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