在泰国的护士领导的多学科慢性心力衰竭服务的关键要素上达成共识:e-Delphi研究
Apinya Koontalay1, Mari Botti1, Anastasia Hutchinson1,2
1Faculty of Health, School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia.
Journal of advanced nursing
|July 17, 2024
概括
德尔菲电子调查在多学科,护士领导的慢性心力衰竭 (CHF) 服务的五个关键要素上达成共识. 这种方法有助于将全球建议适应当地医疗保健需求.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 护理 护理 护理
背景情况:
- 慢性心力衰竭 (CHF) 需要有效的多学科管理.
- 将全球护理模式适应当地环境是一个挑战.
- 护士领导的服务对于优化CHF患者的治疗结果至关重要.
研究的目的:
- 在护士领导的,多学科的CHF服务的基本组成部分上达成共识.
- 使用Delphi电子调查收集专家意见.
- 为文化上可接受的CHF护理模式建立一个框架.
主要方法:
- 采用了三轮电子-德尔菲调查.
- 收集了医疗保健专业人员和领导人的专家意见.
- 共识被定义为对关键要素至少90%的共识.
主要成果:
- 15名参与者 (医疗保健专业人员和领导者) 在五个核心组成部分达成共识.
- 这些组成部分包括消费者教育,多学科治疗优化,出院规划,社区支持和早期去补偿反应.
- 在各轮调查中,参与者的参与度是一致的.
结论:
- 德尔菲方法有效地解决了转移CHF知识和建议的挑战.
- 达成的共识为开发文化上适当的CHF护理模式提供了基础.
- 拟议的模型可以适应各种医疗保健环境,特别是在东南亚.
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