预先护理规划倡议中的沟通流程:服务评估的社会生态视角
Marie C Haverfield1,2, Jessica Ma3,4, Anne Walling5,6
1VA Palo Alto, Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Palliative medicine
|September 10, 2024
概括
有效的预先护理规划 (ACP) 沟通需要系统范围的策略,而不仅仅是患者和医疗服务提供者的谈话. 提高培训,专业间协调,文档以及患者/家庭参与度对于成功的非洲国家和地区倡议至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 沟通研究 沟通研究
- 公共卫生 公共卫生
背景情况:
- 预先护理规划 (ACP) 倡议正在扩大,提高了对医疗保健提供者进行目标护理对话的期望.
- 了解ACP如何在医疗保健系统之间进行沟通仍然有限.
研究的目的:
- 探讨在落实非洲国家和地区倡议的过程中,提供者对沟通流程的观点.
- 确定在医疗保健系统内有效沟通的障碍和促进者.
主要方法:
- 对31次半结构面试的二次分析与退伍军人卫生管理局关键合作伙伴的关键合作伙伴.
- 将已识别的主题定性映射到社会生态模型中,使用恒定的比较方法.
主要成果:
- 出现了四个主要主题:护理沟通培训的目标,专业间沟通,文档中的沟通和患者/家庭沟通.
- 培训需要更多的资源和更清晰的信息;专业间协调对于一致的信息至关重要;文档需要捕捉偏好背景;早期患者/家庭参与是有益的.
结论:
- 非洲国家和地区的倡议应评估超越患者-提供者关系的沟通.
- 社会生态模型提供了一个框架,以了解和改进ACP沟通,包括启动和文档.
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