初级保健临床医生如何处理虚弱的管理? 一个定性面试研究研究
Anna Seeley1, Margaret Glogowska1, Gail Hayward1
1Nuffield Department of Primary Care and Health Sciences, University of Oxford.
Age and ageing
|May 6, 2024
概括
初级保健临床医生发现脆弱性管理复杂,强调值得信赖的患者关系和经验丰富的临床医生支持. 多学科团队可以改善服务,但需要连续性才能有效地护理脆弱性.
科学领域:
- 老年学是一门学科.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脆弱性影响大约15%的65岁以上的成年人.
- 目前对脆弱性管理的合同要求是最小的,缺乏激励.
- 在初级保健中发现脆弱性往往是机会主义的,仅限于对管理挑战的关注.
研究的目的:
- 探索英格兰初级保健临床医生关于脆弱性管理的观点.
- 了解在不断变化的初级保健环境中,脆弱性管理的挑战和促进者.
主要方法:
- 半结构面试与31名英格兰各地的初级保健临床医生 (全科医生,医生助理,护士从业人员,护理人员,临床药剂师) 进行.
- 采访数据的专题分析使用NVivo (版本12) 进行.
主要成果:
- 临床医生认为虚弱管理是复杂的,经常超出现有的临床指导方针,药物优化被认为是一个特定的挑战.
- 经验丰富的临床医生,特别是全科医生,对风险管理表现出更大的信心.
- 关系护理对于尊重患者的自主权和偏好至关重要,例如使老化在现场.
- 参与的临床医生对已建立的多学科脆弱性服务有积极的看法.
结论:
- 初级保健临床医生认为,有效的虚弱管理依赖于强大的患者和临床医生关系以及高级工作人员的支持.
- 在初级保健中整合新的多学科工作模式,有可能提高脆弱性服务,只要保持护理的连续性.
- 人们认识到需要更多基于证据的指导和针对初级保健中脆弱性管理的具体干预措施.
相关概念视频
01:27Nursing Ethical Principles II
956
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
956
01:29Documentation in Long-Term and Home Healthcare Setting
882
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
882
01:15Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570
01:13Patient-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
01:27Ethical Issues
922
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:
922
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K