与中风患者的息护理沟通:最佳实践实施项目
Ashley Brook Schaefer1,2, Candon Garbo1, Michelle Palokas1,2
1School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
实施基于证据的息护理沟通 (PCC) 实践改善了患者的治疗结果. 培训和EHR整合增强了中风患者的PCC遵守,优先考虑生活质量.
科学领域:
- 神经学 神经学
- 医疗保健管理的管理
- 基于证据的实践.
背景情况:
- 脑卒中患者经常面临严重的缺陷和终端诊断,需要息治疗来提高生活质量.
- 息护理沟通 (PCC) 在中风患者护理中经常被推迟或被低效利用.
- 改善PCC对于优化治疗神经衰弱症患者至关重要.
研究的目的:
- 促进基于证据的实践 (EBP) 在治疗中风患者的息治疗沟通 (PCC) 中.
- 在医疗保健环境中加强PCC EBP的实施.
- 改善接受息治疗的中风患者的沟通和决策质量.
主要方法:
- 利用JBI证据实施框架指导该项目.
- 确定了四个PCC的EBP,并建立了审计标准.
- 进行基线和后续审计,以评估合规性,确定障碍,实施战略,包括教育和EHR修改.
主要成果:
- 基线对PCCEBP的遵守率在53%至80%之间.
- 确定的障碍包括有限的医疗保健专业知识,沟通问题和缺乏标准化的PCC文档.
- 后续审计显示,在实施教育计划和EHR改进后,合规率有20%至34%的改善.
结论:
- 建议每年为医疗保健专业人员提供息护理沟通 (PCC) 培训.
- 对PCC实施的多学科方法促进了更好的讨论和决策.
- 优先考虑PCC可以提高患者的生活质量,并支持对中风幸存者的有效护理计划.
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