长期住院PICU患者的连续性策略:来自Lucile Packard基金会PICU连续性小组的共识声明
Jeffrey D Edwards1, Lucia D Wocial2,3, Vanessa N Madrigal4,5
1Section of Critical Care, Department of Pediatrics, Columbia University Vagelos College of Physician and Surgeons, New York, NY.
这项研究为儿科重症监护室 (PICU) 制定了共识陈述,以改善长期住院患者 (LSP) 的护理连续性. 这些策略涉及初级重症治疗师,护士和多学科团队,以获得更好的患者结果.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗保健管理的管理
- 患者护理协调与协调
背景情况:
- 长期住院患者 (LSPs) 代表了儿科重症监护室 (PICU) 中日益增长,脆弱和资源密集的人口.
- 有效的护理连续性策略对于优化LSP的结果至关重要,但尚未明确定义.
研究的目的:
- 制定共识声明,以使PICU中LSP的运行,实施和维持连续性战略.
- 为初级重症治疗师,初级护士和多学科团队会议制定指导方针,以提高LSP的护理连续性.
主要方法:
- 使用了修改后的RAND Delphi方法,包括文献综述,在线调查和虚拟会议.
- 包括LSP家长和医疗保健专家在内的多学科小组参加了一次代的共识形成过程.
- 达成共识需要80%的同意,证据质量和陈述强度使用GRADE方法进行评估.
主要成果:
- 通过了17个共识声明,涵盖五个关键领域:资格,启动,责任和实施和可持续性的资源.
- 支持这些陈述的证据质量低至非常低,强调了对专家和家长经验的依赖.
- 创建了一个全面的指标列表,用于评估连续性战略的有效性.
结论:
- 开发的共识声明为PICU提供了关于运营,实施和维持LSP连续性战略的新指导.
- 这些声明旨在加强对这种复杂和资源密集型患者群体的护理.
- 该小组还生成了一份全面的指标清单,用于评估这些连续性战略的有效性.
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