减少低价值家庭护理护理的障碍和促进因素:在家庭护理专业人员中进行的定性探索性研究
Milou Cremers1, Benjamin Wendt2, Getty Huisman-de Waal2
1Department of Internal Medicine, Section of Nursing Science, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
了解障碍物和促进者是减少低价值家庭护理关键. 提高技能,协作和客户动机可以提高护理的适当性,减少不必要的服务.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 提高质量 提高质量
背景情况:
- 家庭护理中的低价值护理越来越令人担忧.
- 识别障碍和促进者对于有效的撤销实施策略至关重要.
- 家庭护理组织在优化服务交付方面面临着挑战.
研究的目的:
- 探索减少低价值家庭护理的障碍和促进因素.
- 为消除不必要的护理服务实施策略提供信息.
- 提高家庭护理的适当性.
主要方法:
- 定性探索性研究的设计.
- 七个重点小组和两个个人采访进行.
- 数据使用定制实施慢性疾病检查清单进行演性分析.
主要成果:
- 障碍包括缺乏知识,专业间沟通问题以及客户/相对行为.
- 促进者包括同行反思,清晰的沟通,客户动机和组织支持.
- 金融方面,如不退款和护理援助费用,被确定为障碍.
结论:
- 了解专业的视角对于退出实施至关重要.
- 提高技能,协作和客户自我照顾是关键的促进者.
- 量身定制的策略可以成功地减少低价值的家庭护理,改善患者的治疗结果.
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