提前护理规划包:使用技术和适应性解决方案来促进符合目标的护理
Sara Brigham1, Lori Olson2, Jessica Kalender-Rich3
1Division of Palliative Medicine (S.B., L.O., J.V.B., B.S., K.P.W), University of Kansas School of Medicine, Kansas City, Kansas, USA; Critical Care Division, Department of Nursing, The University of Kansas Health System (C.P.), Kansas City, Kansas, USA.
Journal of pain and symptom management
|September 22, 2024
概括
实施提前护理规划 (ACP) 质量改进包帮助医疗服务提供者将患者护理与目标保持一致. 这一代过程涉及结构性变化和适应行为,以实现持续的,目标一致的护理.
科学领域:
- 医疗保健系统科学 医疗保健系统科学
- 提高质量 提高科学 提高质量
- 医疗信息学 医疗信息学
背景情况:
- 提前护理计划 (ACP) 对于目标一致的患者护理至关重要.
- 医疗保健系统在协调和调整ACP实施方面面临着挑战.
- 有效的ACP需要整合跨护理环境的工具和干预措施.
研究的目的:
- 在快速响应提供者中评估预先护理规划质量改进包的实用性和感知.
- 评估捆绑干预对ACP进程实施和遵守的影响.
- 探讨技术适应性框架在增强非洲和非洲国家和地区的作用.
主要方法:
- 对快速响应提供商进行了一项调查,以衡量他们对非洲和非洲国家/地区质量改进包的经验.
- 该研究实施了一系列的非洲和非洲国家和地区工具,包括订单,文档模板,流程和教育,利用技术适应性框架.
- 收集了有关供应商对实施的非洲和非洲国家干预措施有用性,使用和遵守的看法的数据.
主要成果:
- 93个快速响应提供商参与了调查.
- 80.5%的医疗服务提供者认为,质量改进努力有助于或非常有助于使护理与患者目标保持一致.
- 捆绑干预措施在支持目标一致的护理方面被认为是积极的.
结论:
- 预先护理计划的技术和适应性工具的捆绑实施显示出改善和维持目标一致的护理的希望.
- 在ACP中,质量改进是一个代的过程,需要结构性系统变化和行为适应.
- 该研究强调了综合ACP战略的潜力,以加强以患者为中心的护理.
相关概念视频
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Planning Nursing Care II
2.6K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.6K
Standards of Care II
636
Nurses bear specific legal responsibilities under several federal statutes, including:
636
Ethical Dilemmas II
957
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
957
Documentation in Long-Term and Home Healthcare Setting
875
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
875
Ethical Issues
870
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
870


