实用主义和可行性:对在老年急诊室实施和升级护理的经验进行定性研究
Anita Chary1,2, Annika Bhananker3, Vivian Ramont3
1Department of Emergency Medicine Baylor College of Medicine Houston Texas USA.
概括
在急诊室 (ED) 实施老年护理流程需要大量的资源和员工的承诺. 成功的关键因素包括医疗系统的融资,可行的整合到电子健康记录,以及持续的员工教育,以克服动机障碍.
科学领域:
- 老年医学 老年医学
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 紧急服务部门 (ED) 在实施和维持新的护理流程方面面临着挑战.
- 老年急诊部认证 (GEDA) 计划为改善EDS老年护理提供了一个框架.
研究的目的:
- 描述EDs在实施老年护理过程中的经验,作为GEDA计划的一部分.
- 识别ED环境中基于证据的老年人护理指南的采用和可持续性的促进者和障碍.
主要方法:
- 从15个认证ED的老年ED护士和医生领导者进行了定性采访.
- 实施研究综合框架 (CFIR) 指导了采访过程和分析.
- 使用诱导和演分析来确定关键主题,并将其映射到CFIR构造中.
主要成果:
- 升级GEDA的动机包括改善患者护理和获得认可.
- 在选择护理流程时,优先考虑可行性和电子健康记录的整合,而不是特定地点的患者需求.
- 实施的关键因素包括卫生系统融资,克服员工激励障碍,以及由于员工流动而需要纵向教育.
结论:
- 老年ED认证需要大量的时间,资源和持续的员工承诺.
- 在认证过程中,ED必须平衡增强患者护理的目标与对资源可用性和竞争优先事项的实际考虑.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.3K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
相关概念视频
Ethical Dilemmas II
985
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
985
Ethical Issues
902
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
902
Methods of Documentation VI: Case Management Model
565
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
565
Documentation in Long-Term and Home Healthcare Setting
878
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
878
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
