养老院和急诊室之间健康过渡的障碍
Elin Høyvik1, Malcolm Bray Doupe2, Gudmund Ågotnes3
1Western Norway University of Applied Sciences, Centre for Care Research, Årstadveien 17, 5009 Bergen, Norway.
障碍物阻碍养老院居民顺利过渡到急诊室,影响护理连续性和员工福祉. 系统性改进对于更好的患者结果和医疗保健协调至关重要.
科学领域:
- 医疗保健管理的管理
- 患者护理过渡 患者护理过渡
- 医疗保健服务研究 医疗服务研究
背景情况:
- 养老院 (NH) 居民经常利用急性医疗保健服务,通常需要复杂的需求,需要多方提供者协调.
- 养老院和急诊室 (ED) 之间的过渡是护理交付的关键时刻.
- 现有文献强调需要更好地了解这些特定医疗保健转型中的障碍.
研究的目的:
- 识别和分析养老院和急诊室之间健康过渡的障碍.
- 探索参与这些转型的医疗保健专业人员的当前做法和观点.
- 为 NH-ED 护理协调提供有针对性的改进信息.
主要方法:
- 定性研究设计采用18个半结构面试.
- 参与者包括来自养老院的医疗保健专业人员,救护车服务,工作时间以外的初级保健和急救部门.
- 用专题分析来识别关键障碍,以Afaf Meleis的过渡理论为指导.
主要成果:
- 三个主要主题出现了: 1) 显著的员工负担, 2) 关键的护理不连续性, 3) 在过渡期间对居民福祉的负面影响.
- 在微 (个人),中 (组织) 和宏 (系统) 层面上确定了障碍.
- 报告指出,在沟通和信息传输方面存在特定的挑战.
结论:
- 系统性障碍严重阻碍了养老院和急诊室之间的健康过渡.
- 解决员工负担和确保护理连续性对于改善居民福祉至关重要.
- 需要进行多层次的干预,以优化这个弱势群体的过渡过程.
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