在规范整合过程中难以协调的参考框架的差异识别,为多重问题的人提供护理:荷兰的一项混合方法德尔菲研究
Lieke Reinhoudt-den Boer1, Robbert Huijsman2, Jeroen David Hendrikus van Wijngaarden3
1Erasmus University, The Netherlands.
International journal of integrated care
|April 15, 2024
概括
由于不同的专业观点,关于多重问题的综合护理 (PWMPs) 尚未达成共识. 为了克服这些分歧,需要进一步研究护理过程中的规范整合.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 跨专业职业生涯 跨专业职业生涯
背景情况:
- 综合护理需要系统,组织,专业和临床层面的整合,包括功能和规范方面的整合.
- 虽然功能整合得到了充分的研究,但多重问题患者 (PWMP) 护理中的规范整合仍未得到充分研究.
- 本研究探讨了不同参考框架,这些框架阻碍了关于PWMPs适当护理的共识.
研究的目的:
- 识别和分析专业人员和管理人员关于为多重问题患者 (PWMP) 提供适当护理的观点差异.
- 探讨为复杂患者群体建立综合护理模式的共识所面临的挑战.
主要方法:
- 一个混合方法的德尔菲研究,涉及专业人员和管理人员积极参与PWMP的护理.
- 通过评估15个描绘现实患者轨迹的片段,试图建立共识.
主要成果:
- 对于15个小组中的任何一个,都没有就适当的护理提供达成共识.
- 确定了五个关键的异议领域:个人与系统客户观点,自我表达与专业评估的需求,客户指导与照顾者指导的护理,客户作为受害者与负责人,并专注于障碍与机会.
结论:
- 虽然人们普遍认为需要对PWMP进行综合照顾,但实际操作过程中出现了重大分歧.
- 为了实现规范整合,理解和解决已确定的观点差异至关重要.
- 进一步的研究应侧重于研究PWMPs实际护理交付流程中的规范整合.
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