开放的笔记家长在儿童重症监护室的经历
Selby Chu1, Bryan A Sisk2,3, Amanda Kolmar2,3
1University of Texas Southwestern Medical Center, Dallas, Texas.
Pediatrics
|April 8, 2024
概括
在儿科重症监护室 (ICU) 入院期间,父母在孩子的电子健康记录中浏览开放的笔记,尽管面临挑战,但发现了好处. 他们建议改进笔记访问,内容和支持系统.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗信息学 医疗信息学
- 患者的参与度 患者的参与度
背景情况:
- 开放访问临床笔记,或对临床笔记的开放访问.
- 开放注释 开放注释 开放注释
- ,越来越多地通过电子健康记录提供.
- 了解父母在孩子的重症监护室 (ICU) 住院期间对开放笔记的经验,对于优化护理和沟通至关重要.
研究的目的:
- 检查家长如何体验和导航在电子健康记录中对孩子的临床笔记的开放访问.
- 为了探索家长与临床医生的互动,在儿科ICU入院期间关于开放的笔记.
主要方法:
- 对20名父母的半结构面试进行了定性分析,这些父母的孩子被送往儿科重症监护室.
- 采访的重点是父母在孩子住院期间访问和使用临床笔记.
- 分析使用了感应性主题代码书方法来确定关键主题和模式.
主要成果:
- 两个主要的主题类别出现了:与访问临床笔记相关的结果和相互作用.
- 结果包括应用效益,心理社会价值和负面后果 (例如内容,语言,负担).
- 互动的特点是实际限制,家长的方法和评估,所有这些都受到ICU环境和权力动态的影响.
结论:
- 父母对开放笔记的经验突出了对获取文档,实践和目的的新思路.
- 父母积极谈判在ICU环境中复杂的权力动态和角色界限中使用开放的笔记.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
150
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
150
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Endotracheal Intubation II: Nursing Management
597
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
597
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Ethical Dilemmas I
885
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
885
Pneumonia I: Introduction
230
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
230


