降低医疗复杂性儿童医院护理的驱动因素:父母的观点
Louis-Philippe Thibault1,2,3, Claude Julie Bourque1,4,2,3, Nathalie Gaucher5,4,2
1Department of Pediatrics, CHU Sainte-Justine, Université de Montréal, Montreal, Canada.
Paediatrics & child health
|September 16, 2024
概括
综合护理计划 (CCP) 赋予家庭权力,提供个性化的支持,减少医疗复杂性 (CMC) 的儿童的急诊室访问和住院时间. 这导致了更好的结果和父母的满意度.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 复杂的护理管理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有医疗复杂性 (CMC) 的儿童承担高昂的医疗保健费用,对医疗保健系统构成重大负担.
- 综合护理计划 (CCP) 在减少医疗保健利用率和提高CMC的家长满意度方面显示出希望.
- 从父母的角度来看,了解这些改进背后的机制对于优化护理至关重要.
研究的目的:
- 探索家长的观点,原因急诊室 (ED) 访问减少和住院时间长度在CPC注册的CMC.
- 在CCP中确定有助于减少医疗保健资源利用的关键推动因素.
主要方法:
- 定性研究采用深入的,半结构化的采访,与CMC的家长在一个CCP.
- 通过与跨学科团队共同构建的指南指导的面试,包括父母合作伙伴.
- 主题分析用于从收集的数据中诱导性地识别关键主题.
主要成果:
- 家长们认为个性化护理,家庭赋权和指导是帮助减少医院护理使用的关键项目.
- 儿童的医疗基线状况的改善也被认为是一个因素,尽管不是直接归因于计划支持.
- 临床护士协调员被强调为促进这些支持策略的核心.
结论:
- 个性化护理,家长赋权和指导是中关CP的关键策略,可以减少急救诊所的访问和住院时间.
- 临床护士协调员在实施这些战略和支持家庭方面发挥着至关重要的作用.
- 这些发现提供了有价值的见解,用于增强CCP,以更好地为CMC及其家人服务.
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