临床医生在加拿大两个省份实施预先护理规划途径的经验:定性研究
Julie Stevens1, Dawn Elston2, Amy Tan3
1End-of-Life Care Research Group, Vrije Universiteit Brussel, Laarkbeeklaan 103, Brussels, Belgium. julie.joseph.stevens@vub.be.
BMC primary care
|June 15, 2024
概括
在一般门诊护理中实施预先护理规划 (ACP) 途径是可行的,并且得到了临床医生的好评. 结构化方法改善了临床医生的信心和患者的互动,支持未来的整合.
科学领域:
- 医疗保健提供 医疗保健提供
- 以患者为中心的护理
- 临床实施科学 临床实施科学
背景情况:
- 提前护理规划 (ACP) 对于患者来说至关重要,以沟通未来的医疗护理偏好.
- 尽管有患者的兴趣,但由于各种障碍,ACP讨论并不频繁.
- 为了解决这些障碍,加拿大一般门诊机构实施了一种新的ACP护理途径.
研究的目的:
- 了解临床医生实施新的预先护理规划途径的经验.
- 确定在初级保健和一般内科医学中实现途径的障碍和促进因素.
- 评估非洲和非洲国家发展途径对临床医师实践和患者护理的可行性和影响.
主要方法:
- 在加拿大两个省份的四个门诊处实施了使用严重疾病对话指南的结构化ACP护理途径.
- 参与的临床医生包括医生和相关卫生专业人员.
- 通过采访和聚焦小组收集了定性数据,其中包括12名医生和一名社会工作者,随后进行了感应编码.
主要成果:
- 临床医生发现,ACP途径是可行的,可以实施和整合到现有的工作流程中.
- 该途径的结构和工具对临床医生的信心和患者互动产生了积极的影响.
- 促进者包括团队合作和患者准备,而工作流的兼容性是关键考虑因素.
结论:
- 实施的ACP护理途径是一般门诊机构的可行和有价值的工具.
- 临床医生报告说,对他们的信心和患者沟通产生了积极影响.
- 该途径的结构和工具受到好评,这表明了更广泛的采用和可持续性的潜力.
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