注册护士病例经理的工作经验与以人为中心的协作医疗保健模式:一个采访研究
Markus Hjelm1,2, Anna Andersson3, Venera Ujkani3
1Blekinge Centre of Competence, Region Blekinge, Karlskrona, Sweden. markus.hjelm@med.lu.se.
注册护士病例经理通过调查患者需求,调解服务和与患者合作提供以人为本的护理来定制护理. 这种综合模型增强了协作和患者在管理多病症方面的结果.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 护理 护理 护理
背景情况:
- 多病症是一个日益关注的问题,特别是在老年人中,影响生活质量和增加医疗保健利用率.
- 以人为中心的护理干预措施有望改善多病症患者的治疗结果.
- 了解注册护士病例管理人员 (RNCMs) 在综合护理模式中的经验对于优化实践至关重要.
研究的目的:
- 描述RNCM在以人为中心的协作医疗保健模式 (PCCHCM) 中的工作经验.
主要方法:
- 采用了一种诱导性定性设计.
- 数据是通过对11名RNCM进行个人采访来收集的.
- 在数据分析中使用了定性内容分析.
主要成果:
- RNCM的经验被分类为"做侦探"",做调解员"",做合作伙伴"和"做发展促进者".
- 主要类别是"调整医疗保健和社会服务以保护患者的最佳利益",突出了RNCM在评估需求和协调护理方面的努力.
- RNCMs积极参与患者和亲属的决策,促进了个性化协议,并改善了与其他专业人员的合作.
结论:
- RNCMs有效地定制医疗保健和社会服务,维护以人为中心的护理和连续性.
- 综合护理模式必须适应独特的环境,并将RNCM角色适应个体患者和当地需求.
- 需要从患者和亲属的角度进行进一步的研究,才能充分了解PCCHCM对参与,安全和护理协调的影响.
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