在跨学科的儿科慢性疼痛计划中进行选决策.
Megan J Greenough1, Krystina B Lewis1, Tracey Bucknall2
1From the University of Ottawa, School of Nursing; Chronic Pain Services at The Children's Hospital of Eastern Ontario, Ottawa, Canada.
概括
护士在将患有复杂慢性疼痛的年轻人分类到跨学科计划中发挥着关键作用. 他们希望基于证据的临床决策支持工具来改善这些关键的分拣决策.
科学领域:
- 儿科护理 儿科护理
- 疼痛管理 疼痛管理
- 医疗保健决策支持服务
背景情况:
- 跨学科的儿科慢性疼痛计划为具有复杂生物心理社会需求的年轻人提供全面的护理.
- 护士是患者分拣的核心,但缺乏基于证据的临床决策支持工具.
- 这种差距增加了不一致和随机的分类决策的风险.
研究的目的:
- 探索和描述护士在患者分拣期间的决策实践,以跨学科的儿科慢性疼痛计划.
- 确定影响这些分拣决策的上下文影响.
主要方法:
- 定性探索性描述性设计.
- 来自11个跨学科儿科慢性疼痛计划的12名护士参加了这次活动.
- 半结构面试使用并发内容分析进行分析,以认知连续理论和理论领域框架为指导.
主要成果:
- 儿科慢性疼痛的分类是复杂的,主要由护士领导.
- 确定的主要主题包括护士领导的分拣决定因素,分拣决策过程和外部影响.
- 护士们强调了患者群体的复杂性和缺乏基于证据的指导.
结论:
- 护士领导的跨学科儿科慢性疼痛计划的分类是复杂的.
- 护士表达了对基于证据的临床决策支持 (CDS) 选工具的强烈愿望.
- 实施CDS工具可以简化转诊,并优先考虑最需要跨学科护理的患者.
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