在制定基于证据的质量改进学习文化时,护士可以从患者的需求和愿望中学到什么? 一个定性研究研究
Jeltje Giesen1, Ilse Timmerman2, Annick Bakker-Jacobs1
1Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
Scandinavian journal of caring sciences
|March 25, 2024
概括
护士必须了解患者的偏好,以提高护理质量. 建立信任和开放的沟通是共同决策和在护理中建立更好的基于证据的学习文化的关键.
科学领域:
- 护理科学 护理科学
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
背景情况:
- 患者参与对于改善医疗保健结果至关重要.
- 护士往往难以将患者的需求纳入基于证据的实践和质量改进计划.
- 持续质量改进的方法需要了解患者的观点,以提高护理.
研究的目的:
- 探索患者对参与护理过程的需求和愿望.
- 为培养基于证据的护理学质量改进学习文化的发展提供信息.
- 确定护士如何更好地将患者的偏好纳入实践.
主要方法:
- 这是一项定性研究,涉及18名来自医院和社区护理机构的患者.
- 进行了半结构化的个人访谈.
- 用基于基本的护理框架的框架分析分析数据,并补充了归纳编码.
主要成果:
- 患者渴望有同情心的护士,建立并保持信任关系.
- 非常重视护士在护理期间的积极存在和参与.
- 从护士那里获得的明确,量身定制的信息显著改善了共享决策.
结论:
- 强大的护士-病人关系对于有效的护理和共同的决策至关重要.
- 了解患者的护理偏好对于培养护理中基于证据的质量改进学习文化至关重要.
- 解决患者的偏好有助于成功实施质量改进过程.
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