一个混合方法研究连续性和护理协调,基于产科近乎错误的方法
Samuel M Mulongo1, Doreen Kaura1, Bob Mash2
1Department of Nursing, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
孕产妇医疗保健的不良连续性和协调,特别是在产前检查期间,与产科近乎失误有关. 改善以女性为中心的护理和团队合作可以提高资源贫困的环境中的孕产妇健康结果.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 差点失误的方法认为,严重的孕产妇疾病具有共同的风险因素.
- 危及生命的产科事件的幸存者 (近乎失误的病例) 提供了对潜在决定因素的关键见解.
- 了解这些决定因素对于改善孕产妇保健和预防死亡率至关重要.
研究的目的:
- 调查孕产妇医疗保健中的连续性和协调因素,这些因素有助于产科近乎失误.
- 在转诊途径设置中确定影响护理连续性和协调的因素.
主要方法:
- 采用了一种解释性的顺序混合方法设计.
- 这项研究是在肯尼亚的一家主要推医院及其推途径中进行的.
- 收集和分析了连续性和协调指数的定量数据,随后对确定的主题进行了定性探索.
主要成果:
- 几乎失误的幸存者在产前访问期间表现出明显较低的护理连续性和协调指数 (COCI = 0.80,MCCI = 0.62).
- 第一个三个月的发病率增加了经历近乎失误的可能性 (aOR = 4.34).
- 定性发现揭示了顺序和并行协调,连续性和访问问题的主题,与资源差异相关的近乎失误负担的区域差异.
结论:
- 提高孕产妇医疗保健的连续性和协调性对于减少产科近期失误至关重要.
- 促进以女性为中心的护理,改善团队合作和加强沟通是关键策略.
- 创新的协调角色,如病例和护理经理,可以显著改善孕产妇医疗保健的提供.
更多相关视频
08:08Author Spotlight: Capturing Infant-Caregiver Interactions Through Synchronized Multimodal Data Collection
Published on: May 31, 2024
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
相关概念视频
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods of Documentation II: POMR
