跨学科的预先护理规划在瘤学和息护理中,在一场大流行期间:一个最佳实践实施项目
Felix Muehlensiepen1,2, Henrikje Stanze3, Susann May1
1Center for Health Services Research, Faculty of Health Sciences, Brandenburg Medical School, Rüdersdorf, Germany.
JBI evidence implementation
|July 22, 2024
概括
在瘤学和息治疗中实施预先护理规划 (ACP) 改善了教育和组织支持. 然而,由于COVID-19大流行和资源限制,持久的临床变化受到限制.
科学领域:
- 医疗保健管理的管理
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
背景情况:
- 提前护理计划 (ACP) 对于将患者的医疗护理与他们的价值观保持一致至关重要,特别是在严重的慢性疾病和生命终端护理中.
- 有效的ACP需要一个统一接受的定义和在医疗保健专业人员之间协调的任务分配.
研究的目的:
- 在瘤学和息护理环境中引入和促进基于证据的预先护理计划 (ACP).
- 评估针对性实施策略在COVID-19大流行期间对ACP实践的影响.
主要方法:
- 使用JBI证据实施框架和混合方法审计周期.
- 进行了基线和后续审计,包括定性访谈,研讨会和半定量问卷.
- 结果与八个最佳实践建议进行了比较.
主要成果:
- 基准审计发现缺乏统一的ACP理解和协调的任务分配.
- 后续审计显示,在非洲和非洲的教育和培训方面取得了显著的改善 (标准1:50%至100%).
- 对于ACP对话的组织支持有所改善 (标准3: 87.5%至100%),而其他标准保持不变.
结论:
- 临床教育和以团队为基础的过程分析可以加强跨学科的ACP实施.
- 由于COVID-19的流行,使得最佳实践中持续的临床过程变化难以建立.
- 重要资源和时间对于成功的,可持续的ACP实施至关重要.
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