通过了解障碍物和促进者来改善住院 Delirium 准则的采用:一种混合方法的研究
Catriona Jackson1,2, Catherine Malia3, Hannah Zacharias3
1Wolfson Palliative Care Research Centre, Hull York Medical School, Hull, East Yorkshire, United Kingdom.
PloS one
|September 26, 2024
概括
确定了医院中最佳狂妄症护理的障碍,包括竞争的优先事项和资源限制. 制定了涉及员工教育和环境变化的战略,以改善妄患者的指导方针护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
- 改善临床实践的改善
背景情况:
- 痴呆症是宿舍环境中常见且严重的疾病,往往导致患者的护理不足最佳水平.
- 有效评估和管理妄症对于改善终身护理患者的治疗结果和生活质量至关重要.
研究的目的:
- 识别障碍障碍,阻碍医院医生对妄的最佳评估和管理.
- 开发和完善策略来克服这些障碍,并加强痴呆症护理.
主要方法:
- 追溯审查80个临床记录,以评估指导方针的一致性.
- 与医疗保健从业人员进行调查和定性访谈,以确定障碍物和促进者.
- 咨询高级临床工作人员,以完善干预策略.
主要成果:
- 鉴定出与符合指导方针的痴呆症护理一致性较低,只有61%的住院接受了查,59%接受了记录的非药物管理.
- 主要障碍包括竞争的优先事项,知识/技能不足以及资源不足 (人员,指导方针,环境).
- 开发的战略包括实施冠军,教育会议,审计/反和环境调整.
结论:
- 一项以理论为基础的研究确定了英国一家临终关怀医院中痴呆症护理的主要障碍.
- 拟议的策略旨在改进符合指南的痴呆症护理,需要进一步的研究来评估它们对临床结果的影响.
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