通过合作重新设想关键护理模型来改善患者护理
Sharon Hickin1, Heather Hudniuk, Sarah Gyorfi
1Author Affiliations: Clinical Nurse Specialist (Ms Hickin), Fraser Health Critical Care Network, New Westminster; Clinical Nurse Educator (Ms Hudniuk), Fraser Health Critical Care Network, Abbotsford; and Project Leader (Ms Gyorfi), Langley Health Services, Vancouver, British Columbia, Canada.
重新设想关键护理的提供包括将患者和工作人员的价值观整合到一个新的模型中. 这项质量改进项目开发了一种可持续的方法,以提高高质量的重症监护室 (ICU) 服务.
科学领域:
- 关键护理医学 关键护理医学
- 改善医疗保健质量 改善医疗保健质量
- 护理劳动力发展护理劳动力发展.
背景情况:
- 由于先进的医学疗法,患者的敏度和复杂性不断增加.
- 越来越需要有经验的护理人员在重症监护机构.
- 熟练护士的退休和离职需要重新评估护理的提供.
研究的目的:
- 通过嵌入员工和患者合作伙伴价值观,重新构想关键护理服务.
- 开发一个可持续的重症监护模式,使护理质量与员工技能组合和患者需求保持一致.
- 为应对老龄化护理劳动力的挑战和增加患者复杂性.
主要方法:
- 由临床护士专家领导的参与会议.
- 参与患者,家属和医疗保健团队成员讨论关键护理优先事项.
- 利用参与者的反来塑造一个新的,可持续的重症监护模式.
主要成果:
- 确定了新模式的四个基本组成部分:基于敏度和复杂性的护理,高敏度和重症监护单元的整合,高级实践的职业道路,以及优化的跨专业团队范围.
- 开发了一种以患者为中心,可持续的重症监护模式.
- 实现了具有可衡量的结果的独特组件.
结论:
- 纳入患者和工作人员的经验提高了开发和维持新护理模式的成功.
- 新模式以患者为中心,可持续.
- 这种多方面的方法导致了重新设想的重症监护系统.
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