确定用于医院整合息护理方法的核心指标:国际德尔菲研究
Mary Nevin1, Sheila Payne2, Valerie Smith3
1School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
Palliative medicine
|September 28, 2024
概括
这项研究确定了将息治疗纳入医院的32个核心指标. 这些指标涵盖了改善患者护理的结构,组织和人员要素.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医院管理局 医院管理局
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 医院医疗保健提供者经常遇到需要息治疗的患者.
- 这些需求中的许多是非专业的,突出显示了在急性医院环境中整合息治疗方面的挑战.
研究的目的:
- 确定用于医院内有效整合息护理方法的核心指标.
- 建立一个基于共识的医院息护理框架.
主要方法:
- 一种德尔菲技术,涉及三轮连续的在线调查.
- 从概念分析和对医疗保健提供者观点的系统审查中得出初步指标.
- 国际专家小组由临床医生,研究人员和患者/家庭成员组成.
主要成果:
- 在基于医院的息治疗方法的32个核心指标上达成共识.
- 指标被分为结构性 (5),组织性 (21) 和人员 (6) 元素.
- 从12个国家的97名初始参与者获得了74%的总体响应率.
结论:
- 确定的核心指标为临床实践,政策和研究提供了多层次的指导.
- 这些指标是评估,审查和传达医院息护理基本要素的工具.
- 这些发现是基于关键利益相关者团体的国际共识.
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