在性别肯定护理中实施患者报告结果措施的实用指南:评估可接受性,适当性和可行性
Rakhshan Kamran1, Liam Jackman2, Anna Laws3
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK rakhshan.kamran@hertford.ox.ac.uk.
BMJ open quality
|May 1, 2024
概括
在性别确认护理 (PG-PROM-GAC) 中实施患者报告的结果措施 (PROM) 的实用指南被认为是可接受的,适当的,并且可以由跨性别和性别多样性 (TGD) 患者和医疗保健专业人员实现. 本指南已准备好用于改善性别肯定护理服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 确认性别的护理
- 患者报告的结果衡量结果.
背景情况:
- 患者报告的结果指标 (PROM) 对于评估和改善医疗保健服务至关重要.
- 在性别肯定护理等专业领域实施PROM带来了独特的挑战.
- 需要一本实用指南,以促进PROM在性别肯定护理环境中的整合.
研究的目的:
- 评估"实施患者报告结果措施 (PROMs) 在性别确认护理 (PG-PROM-GAC) 的实用指南"的可接受性,适当性和可行性.
- 收集患者和医疗保健专业人员关于PG-PROM-GAC的实用性的反.
- 确定PG-PROM-GAC是否已准备好进行广泛实施.
主要方法:
- 一项横截面研究与跨性别和性别多样性 (TGD) 患者和来自国家卫生服务 (NHS) 性别诊所的医疗保健专业人员进行.
- 参与者审查了通过电子邮件分发的PG-PROM-GAC.
- 经过验证的工具,包括干预措施的可接受性 (AIM),干预措施的适当性 (IAM) 和干预措施的可行性 (FIM),用于收集参与者的感知数据.
主要成果:
- 共有132名TGD患者和13名医疗保健专业人员参加.
- 在PG-PROM-GAC中,超过50%的患者同意或强烈同意患者相关策略的可接受性,适当性和可行性.
- 不到15%的医疗保健专业人员不同意或强烈不同意医疗保健专业人员相关的策略,这表明接受度很高.
结论:
- 在PG-PROM-GAC被认为是可以接受的,适当的,和可行的TGD患者和性别确认的医疗保健专业人员.
- 该指南被认为是临床医生,政策制定者和旨在加强性别肯定护理服务的研究人员即时使用的准备书.
- 成功实施PG-PROM-GAC可以导致性别肯定护理服务的显著改善.
相关概念视频
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
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
Methods of Documentation II: POMR
944
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
944
Assessment of the Cardiovascular System I: Subjective Data
322
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
322
Ethical Issues
928
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
928


