我们依赖关系:无家可归服务提供商在COVID-19期间协调护理过渡的经验
Amanda Joy Anderson1,2, Elizabeth Bowen1,2
1Amanda Joy Anderson, PhD, MPA, RN is a 2020-2023 Robert Wood Johnson Foundation Clinical Scholar and 2024 postdoctoral fellow of the National Center for Homelessness Among Veterans; School of Nursing, State University of New York at Buffalo. Her work focuses on cross-sector collaboration in teams serving people with multimorbidity requiring social support, such as those transitioning from hospital to community-based social service programs like medical respite.
无家可归者服务提供者在照顾协调方面面临挑战,原因是非正式的关系和层次结构. 改善跨部门合作需要更好的信息交换和对患者转型的行政支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 社会工作 社会工作 社会工作
背景情况:
- 跨卫生和社会服务的护理协调是常见的,特别是在医院到社区过渡时.
- 很少有研究在这个过程中检查非临床无家可归服务提供商 (HSP) 的观点.
- 了解医疗保健专家的经验对于改善对弱势群体的护理至关重要.
研究的目的:
- 探索非临床医疗保健专家协调住院患者进入无家可归者庇护所的护理过渡的经验.
- 确定影响护理协调的因素,包括COVID-19的影响.
- 为加强跨部门合作提供见解.
主要方法:
- 使用与前线,管理和执行 HSP 进行半结构面试的定性研究.
- 使用定性内容分析分析的数据.
- 规范化过程理论框架引导编码实现科学见解.
主要成果:
- 确定了关键主题:依赖非正式关系,层次结构的影响以及缺乏跨部门信息交换.
- 调查结果突出了有效的护理协调的障碍和促进者.
- 来自一个研究不足的专业群体提供了服务于高风险人群的见解.
结论:
- 非临床医疗保健医生在护理过渡中发挥着至关重要的作用,需要更深入地了解他们的工作.
- 急症护理病例管理人员应该培养人际关系,提供跨界教育,并建立信息翻译的行政结构.
- 基于证据的干预措施可以改善跨部门的护理协调,以改善患者的治疗结果.
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