为患有晚期疾病的成年人和他们的家庭照顾者提供电话咨询线:定性分析和新的实践框架
Sophie Pask1,2, Allen Omoruyi1, Ahmed Mohamed1
1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Palliative medicine
|April 10, 2024
概括
电话咨询线对高级疾病护理至关重要,但服务不一致性阻碍了有效性. 这项研究制定了一个框架,以改善这些关键的息护理服务,以改善患者和护理人员的体验.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 国际上建议使用电话咨询线来提供全天候,全天候,全天候的家庭高级疾病护理.
- 关于成功的电话咨询线路的基本要素的证据有限.
- 需要一个国家概况来规范和增强服务交付.
研究的目的:
- 探索英国各地的晚期疾病患者在家中的电话咨询线.
- 制定一个实际的框架来改善这些服务.
主要方法:
- 采用结构化面试进行跨国定性评估.
- 针对参与息护理提供和资助的专业人员进行有目的的抽样.
- 患者和公众参与研讨会,以完善框架.
主要成果:
- 71次采访确定了五个主要主题:可用性,可访问性/意识,实用性,整合性和服务结构/调试.
- 咨询线路模型和呼叫处理器专业知识的变化影响了护理.
- 有限的电子健康记录访问阻碍了护理的连续性.
结论:
- 开发了一个新的,基于证据的框架,以指导电话咨询线路的设计和交付.
- 该框架解决了改善患者和护理人员在高级疾病护理方面的经验的关键问题.
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