使用推的紧急护理和初级护理治疗总结计划:一种混合方法研究
Anne-Marie Slowther1, Jenny Harlock1, Celia J Bernstein1
1Warwick Medical School, University of Warwick, Coventry, UK.
Health and social care delivery research
|November 2, 2024
概括
该计划得到了公众和专业人士的支持,用于紧急护理决策. 然而,将患者的愿望转化为初级保健中的具体建议存在挑战,导致各种解释.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 紧急医疗 紧急医疗
- 患者护理规划 患者护理规划
背景情况:
- 紧急护理和治疗的建议总结计划 (ReSPECT) 于2016年制定.
- 在初级保健中启动RESPECT具有潜在的优势和困难.
- 在医院医生和全科医生如何使用ReSPECT方面存在差异,这影响了设置之间的推翻译.
研究的目的:
- 评估ReSPECT在初级保健机构的使用情况.
- 评估 ReSPECT 对患者治疗和护理的影响.
- 了解影响ReSPECT实施的上下文因素.
主要方法:
- 混合方法研究,包括采访,焦点小组和调查.
- 分析使用了规范化过程理论.
- 在英格兰的13家全科医院和13家养老院评估了RESPECT表格.
主要成果:
- 公众和专业人士支持RESPECT,认为它以人为中心.
- 接受调查的全科医生中有41%使用了ReSPECT,用户更容易讨论紧急护理.
- 挑战包括将未来的不确定性转化为具体的建议,导致护理决策中的冲突.
结论:
- ReSPECT的目标得到了广泛的支持,但在社区环境中实施面临挑战.
- 临床轨迹的不确定性使得具体的推产生变得复杂.
- 观察到对 ReSPECT 建议的解释和应用存在差异.
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