我们一起恢复倡议:将心理护理整合到ICU中
Ethan G Lester1, Victoria A Grunberg2, Sarah M Bannon1
1Center for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
NEJM catalyst innovations in care delivery
|September 13, 2024
概括
将心理社会护理整合到重症监护室 (ICU) 中至关重要. "共同恢复 (RT) "倡议成功实施了一个多学科框架,用于在神经ICU中支持患者和护理人员.
科学领域:
- 医疗社会工作 医疗社会工作
- 心理社会瘤学
- 关键护理医学 关键护理医学
背景情况:
- 重症监护病房 (ICU) 对患者,家属和工作人员来说,带来了重大的心理社会挑战.
- 在ICU中现有的心理社会服务往往是不足的或不可持续的.
- 需要创新的框架来将心理护理融入复杂的ICU环境中.
研究的目的:
- 描述马萨诸塞州总医院神经科学重症监护室 (神经-重症监护室) 共同康复 (RT) 计划的开发和实施情况.
- 为可持续的整合性护理建立多学科合作.
- 创建一个临床,研究和培训 (CRT) 框架,支持患者,家庭和工作人员.
主要方法:
- 发展RT倡议,为患者-护理人员二合一提供量身定制的,基于证据的干预措施.
- 建立一个多学科的伙伴关系,共享领导和信任.
- 在Neuro-ICU中实施可行的CRT框架.
主要成果:
- 通过强大的多学科合作伙伴关系,成功整合心理社会护理.
- 技术技术倡议为患者,家庭和工作人员的支持提供了一个可行的CRT框架.
- 关键的促进者包括身体接近,一致的沟通,相互信任和共同的优先事项.
结论:
- 技术技术倡议提供了一个成功的,现实世界的模型,用于整合心理社会护理在神经ICU.
- 这种方法为寻求实施综合护理的医疗保健系统提供了实际指导.
- 这些发现对临床医生,研究人员和医疗保健系统开发复杂的护理模型有价值.
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