临床工作人员的态度以及狼决定援助的基线实施结果
Khushbu Khatri Park1, Larry Hearld1, Reena Joseph Kelly2
1Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, USA.
Psychology, health & medicine
|October 15, 2024
概括
临床工作人员.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 风湿病学 实施科学 医学
- 患者决策支持 患者决策支持
背景情况:
- 在临床实践中实施基于证据的干预措施对于改善患者护理至关重要.
- 了解医疗保健人员对新工具的态度对于成功采用至关重要.
- 狼管理可以从决策辅助中受益,但它们的实施需要仔细考虑用户的观点.
研究的目的:
- 调查临床工作人员的一般态度与狼决策援助的实施结果之间的联系.
- 评估狼管理的计算机化,文化定制的决策援助的可接受性,适当性和可行性.
- 确定影响在风湿病学环境中采用新的基于证据的实践的因素.
主要方法:
- 使用基于证据的实践态度量表 (EBPAS) 进行的一项调查分发给美国15家风湿病诊所的员工.
- 该调查收集了关于对新干预措施的态度以及狼决策援助的可接受性,适当性和可行性的数据.
- 采用多级回归分析,控制组织和人员特征.
主要成果:
- 受访者报告了狼决策援助的适度可接受性 (3.54),适当性 (3.45) 和可行性 (3.40).
- 对新实践的更大开放与更高的认知接受度 (β=0.31,p<0.01) 和决策援助的可行性 (β=0.28,p<0.05) 有显著的关联.
- 现行和新实践 (分歧) 之间的感知差异与员工对决策援助的感知没有相关性.
结论:
- 临床人员对新干预措施的一般态度是基于证据的工具 (如决策辅助工具) 实施成功的重要预测因素.
- 评估员工的态度可以帮助识别障碍和机会,以改善在风湿病的决策支持工具的实施.
- 培养对创新的积极态度可能会促进决策辅助工具的采用,最终改善狼护理中的共享决策.
相关概念视频
01:16Kidney Transplant III: Nursing Management
3
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
3
01:21Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
01:20Rheumatic Heart Disease IV: Nursing Management
5
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
5
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:26Peripheral Artery Disease IV: Nursing Management
3
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
3
01:24Nephrotic Syndrome III : Nursing Management
2
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
2