评估患者准备出院的情况,出院沟通和过渡期护理管理
Catherine E Elmore1, Mackenzie Elliott2, Kirsten E Schmutz2
1From the University of Utah College of Nursing, Salt Lake City, UT (CEE, ME, KES, AAB, ASW); University of Utah School of Medicine, Salt Lake City, UT (SER, EPJ, MBC). Catherine.Elmore@nurs.utah.edu.
Journal of the American Board of Family Medicine : JABFM
|October 25, 2024
概括
有效的医院出院沟通对于护理协调至关重要. 初级保健临床医生发现出院准备信息很有用,但在解决患者的社会需求和为护理过渡做好准备方面仍然存在挑战.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 医疗服务研究 医疗服务研究
- 患者护理协调与协调
背景情况:
- 医院医生和初级保健医生之间有效的出院沟通对于护理协调,减少不良事件和尽量减少计划外的医疗保健使用至关重要.
- 与健康相关的社会需求显著影响患者的健康结果,使得医院医生和初级保健提供者在离院时的沟通成为优先事项.
研究的目的:
- 评估学术医疗中心及其关联的初级保健诊所之间的离院通讯的当前状态.
- 收集初级保健临床医生关于出院准备信息有用性的反.
主要方法:
- 采用了一种探索性,融合的混合方法方法.
- 数据收集包括基于文献的REDCap调查和与家庭医学和一般内科的初级保健临床医生进行半结构面试.
主要成果:
- 关键主题包括解雇沟通的挑战,过渡期护理管理和后续任命,以及改进建议.
- 初级保健临床医生对出院准备信息的有用性表达了不同的看法,理由是缺乏对角色和责任的共同理解,以及对未满足的社会需求的伦理担忧.
结论:
- 这项研究强调了退院沟通,过渡期护理管理,患者准备和护理过渡期间的社会需求的相互联系.
- 虽然长期存在的挑战仍然存在,但研究结果为加强出院沟通和过渡期护理管理 (TCM) 流程提供了可行的建议,这些流程可能适用于各种医疗保健机构.
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