枢纽和发言人 - - 基本息治疗在大学医院实践中的实施 - - 一项试点研究
Caroline Hertler, Markus Feuz, Markus Schettle1
1Competence Center for Palliative Care, Department of Radiation Oncology, University Hospital and University of Zurich, Zurich, Switzerland.
这项研究使用Hub and Spokes模型实施了基本的息护理知识,发现了高度的可接受性和可行性. 该计划显示了在医疗保健机构更广泛采用的潜力.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
- 医学教育 医学教育
背景情况:
- 对基本息治疗的有限知识可能会影响患者的治疗结果.
- 需要有效的实施策略,以将息护理原则纳入各种临床环境.
- 枢纽和分支模型为传播专业知识提供了一个结构化的方法.
研究的目的:
- 在选定的医院部门使用Hub and Spokes模型实施基本的息护理知识.
- 评估这种培训模式的可接受性,可行性和采用性.
- 评估医疗和护理专业之间实施结果的差异.
主要方法:
- 一个为期两年的逐步培训计划,包括为指定专家代表 (每部门一名医生,两名护士) 进行技能讲座.
- 六个瘤和非瘤部门参与了.
- 为了评估结果,对12名护士和6名医生进行了半结构面试.
主要成果:
- 在所有部门和专业报告的总体接受度和可行性都很高.
- 在医生和护士之间,受过培训的代表的采用和透程度各不相同.
- 在住院 (住院) 环境中,实施更成功,相关成本较低.
结论:
- 枢纽和分支模型是实施基本息护理知识的可接受和可行的方法.
- 专家代表的有针对性的培训可以促进息护理的整合.
- 计划进一步扩展和跟进,以确保该倡议的可持续性.
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