在美国死产后的沟通,培训和汇报. 医院:一项全国性调查
Katherine J Gold1, Martha E Boggs2
1Department of Family Medicine and Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Journal of women's health (2002)
|June 6, 2024
概括
医院对死产护理的做法各不相同,在员工沟通,汇报和培训方面存在很大的差距. 许多医院缺乏标准化的协议来支持死产后的家庭和工作人员,这影响了丧亲护理的质量.
科学领域:
- 围产儿医学 围产儿医学
- 医疗保健管理的管理
- 丧亲的关怀 丧亲的关怀
背景情况:
- 死产是影响家庭和医疗保健专业人员的重大不利结果.
- 目前医院在内部/外部工作人员沟通,汇报和对死产事件的培训方面的做法没有得到充分的记录.
研究的目的:
- 系统地评估当前的医院实践,与美国医院的死产沟通,汇报和员工培训有关.
主要方法:
- 在提供产科护理的美国医院中,向熟悉丧亲护理的分娩人员分发了匿名调查.
- 收集的数据包括医院描述和工作人员报告的关于死产沟通,汇报和培训的做法.
- 通过对429名符合条件的员工进行289项可用的调查,实现了67%的响应率.
主要成果:
- 虽然大多数医院 (94%) 标记了丧亲家庭的房间,但只有37%的医疗记录 (纸质或电子) 使用标记.
- 在接受调查的医院中,有一半的医院在死产后缺乏标准的审核协议.
- 很大一部分 (38%) 报告说,劳动和分娩护士没有专门的产周损失培训.
结论:
- 在医院工作人员的沟通,支持和培训中存在相当大的差异和关键差距,用于死产护理.
- 这些不一致性凸显了对标准化协议的需要,以确保为家庭和工作人员提供尊重和有效的丧亲护理.
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