加强英格兰NHS产妇服务的公开披露:DISCERN现实主义评估研究
Mary Ann Adams1, Charlotte Bevan2, Maria Booker3
1Department of Women and Children's Health, School of Life Course and Population Sciences, King's College London, London, UK.
Health and social care delivery research
|August 26, 2024
概括
改善NHS产科服务的公开披露需要进行系统性改变. 关键因素包括承认危害,让家庭参与审查,支持他们的理解,确保临床医生的福祉,并展示护理改进.
科学领域:
- 医疗保健 医疗保健 提供 研究 研究
- 患者安全 患者安全
- 定性研究方法论 定性研究方法论
背景情况:
- 国家卫生健康局的产科服务面临着政策转变,向受损家庭公开披露.
- 对于改善公开披露实践,存在有限的可操作指导.
研究的目的:
- 确定提高产妇护理公开披露的关键因素.
- 为改善服务提供基于证据的建议.
主要方法:
- 一项采用现实主义方法的三阶段定性研究.
- 包括文献评论,与利益相关者和家庭的采访,民族学案例研究和解释论坛.
- 患者和公众参与是整个研究中不可或缺的组成部分.
主要成果:
- 事件后的家庭从被动的接受者转变为积极的贡献者.
- 确定了有效公开披露的五个关键机制:承认,参与,意义上的支持,临床医生的心理安全,以及证明的改进.
- 挑战包括医疗法律环境和目标驱动的激励措施.
结论:
- 需要全方位的服务系统,以在事件发生后集中家庭.
- 需要加强临床医生的培训和支持,以及持续的家庭参与.
- 法律修订和家庭参与的组织变化是指定的.
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