护理人员和护理团队对CMC在线协作护理规划的看法
Clara Moore1, Sherri Adams1,2,3, Madison Beatty1,2
1SickKids Research Institute.
Pediatrics
|August 27, 2024
概括
在线协作护理计划通过提供共享编辑访问,赋予有医疗复杂性的儿童的护理人员权力. 这提高了信息的可访问性,护理人员的自主权,并促进了凝聚力的护理伙伴关系.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- 医疗复杂性儿童 (CMC) 的护理计划通常由医疗保健团队控制,限制护理人员的投入和实时准确性.
- 医疗保健中心的护理人员在获取和贡献他们孩子的医疗信息方面面临着挑战.
- 现有的护理计划模型可能不完全支持协作决策.
研究的目的:
- 为CMC的护理人员提供在线访问和共享编辑控制他们孩子的护理计划.
- 探索护理人员和护理团队成员 (CTM) 使用在线协作护理计划 (OCCP) 的经验.
- 评估OCCP对信息共享和护理协调的影响.
主要方法:
- 从第三级复杂护理计划中招募了15名CMC的护理人员,在6个月内使用在线平台.
- 使护理人员能够通过面向患者的在线平台编辑和共享他们孩子的护理计划.
- 与护理人员和20个CTM进行了半结构化采访,使用接地理论和持续的比较分析进行了分析.
主要成果:
- 确定了3个主要主题:角色导航 (信任,责任),成功的要求 (EMR集成,在线访问,协作审查) 和凝聚性护理 (可访问性,共享理解,自主).
- 根据采访结果,开发了OCCP的实施和实用性的理论模型.
- 强调了共享决策和可访问的健康信息的重要性.
结论:
- 在线协作护理计划 (OCCP) 在有效实施时增强共同理解和护理人员自主权.
- OCCP提高了CMC家庭的健康信息的可访问性.
- 这些工具促进了护理人员和CTM之间的凝聚性护理和真正的伙伴关系.
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