了解实施患者主导升级系统的推动因素和障碍:一项定性研究
Elizabeth Sutton1, Mudathir Ibrahim2, William Plath3
1Health Sciences, University of Leicester, Leicester, UK es225@le.ac.uk.
BMJ quality & safety
|June 20, 2024
概括
患者主导的升级系统通过早期识别恶化,改善了手术护理. 成功实施需要组织的支持,并解决患者和工作人员的担忧,以克服障碍.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 手术护理管理手术护理管理
背景情况:
- 手术后急性恶化的管理不一致.
- 患者和家人可以帮助早期检测,但在升级护理方面面临挑战.
- 这项研究评估了紧急手术患者的救援,观察到Ndergo急性恶化 (RESPOND) 计划.
研究的目的:
- 确定实施患者主导升级系统的推动因素和障碍.
- 了解整合患者参与护理升级的实际挑战.
- 为了为术后患者监测的质量改进策略提供信息.
主要方法:
- 在手术单位进行100多小时观察的民族学方法.
- 27次采访临床工作人员,管理人员和患者.
- 主题分析与编码的规范化过程理论相结合.
主要成果:
- 组织支持,包括领导和外展团队,使实施成为可能.
- 障碍包括对改变专业实践和确保公平使用的抵制.
- 解决患者对社会规范的恐惧对于成功至关重要.
结论:
- 基础设施和领导力支持对于患者主导的升级系统至关重要.
- 为了使患者和家人的参与正常化,需要解决患者和护士的担忧.
- 有效实施需要了解和减轻专业和患者参与的障碍.
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