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门诊儿科息护理发展:关于构建可持续计划的指导
Casie James1,2, Suraj Sarvode Mothi3, Elissa G Miller4,5
1University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
建立门诊儿科息护理 (PPC) 计划需要仔细规划. 领导者建议从小开始,专注于物流,并明确对可持续增长的期望.
科学领域:
- 儿科 儿科 儿科
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 儿科息护理 (PPC) 正在扩大,但建立门诊计划的指导是有限的.
- 门诊PPC (OPPC) 领导者的经验对于开发新方案至关重要.
- 本研究解决了对OPPC服务构建的实际建议的需求.
研究的目的:
- 收集美国OPPC项目领导人关于他们建立门诊诊所的经验的建议.
- 确定开发可持续OPPC计划的关键因素和挑战.
- 为旨在扩大PPC服务的医疗机构提供可行的建议.
主要方法:
- 对48家独立的儿童医院进行了调查,这些医院现有住院PPC计划.
- 对诊所发展,人员配置和转诊模式的调查数据进行定量分析.
- 对程序开发经验的自由文本响应进行定性诱导性内容分析.
主要成果:
- 28家医院报告实践临床OPPC;22家提供了发展细节.
- 推的最低可计费全职等价值 (FTE) 有所不同 (扩展时≥3,24小时覆盖时≥4).
- 项目往往源自子专业诊所 (例如,血液学-瘤学),最初的转诊限制.
结论:
- OPPC项目领导者根据他们的开发经验提供实用指导.
- 关键主题包括程序物流,管理期望和定义角色/工作流.
- 重点是逐步增长,以实现计划的可持续性和弹性.
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