改善息治疗质量的实施策略:一个范围审查
Yunyun Dai1,2, Barbara A Daveson3, Luyu Gan2
1Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
概括
在改善息护理质量 (QI) 方面实施以人为中心的结果措施 (PCOM) 需要有效的战略. 本综述确定了策略和实施框架,以指导医疗保健机构的常规PCOM采用.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 提高质量 提高质量
- 实施科学 实施科学
背景情况:
- 质量改善 (QI) 计划对于最佳的息护理至关重要.
- 在QI计划中常规实施以人为中心的结果措施 (PCOMs) 面临挑战.
研究的目的:
- 确定在医院息护理中常规使用PCOM的实施策略.
- 确定指导这些战略的实施理论,模型和框架 (TMF).
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 的框架进行了范围审查.
- 系统地搜索了四个数据库 (Medline,CINAHL,Scopus,PubMed) 从1990年到2024年3月的文献.
主要成果:
- 115个实施策略映射到52%的专家建议实施变革 (ERIC) 战略.
- 共同策略包括利益相关者培训,临床医生支持和利益相关者关系发展.
- 出现了三个关键主题:做什么,如何做,和谁一起做;只有四项研究使用TMF.
结论:
- 制定PCOM实施策略,使用已识别的障碍/促进者和严格的TMF.
- 透明和一致的战略组件报告对于复制和测量至关重要.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.8K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.3K
相关概念视频
Ethical Dilemmas II
978
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:
978
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Ethical Issues
890
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:
890
Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
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
Nursing Ethical Principles II
942
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
942
