实施慢性肌肉骨疼痛临床建议的背景因素
Dawn V Ernstzen1, Quinette A Louw
1Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town. dd2@sun.ac.za.
African journal of primary health care & family medicine
|November 6, 2024
概括
实施慢性肌肉骨疼痛 (CMSP) 的临床实践建议需要了解上下文因素. 在初级医疗保健 (PHC) 中成功管理需要综合系统方法,政策支持和合作.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床实践指南 临床实践指南
- 知识 翻译 翻译
背景情况:
- 慢性肌肉骨疼痛 (CMSP) 的有效管理需要实施基于证据的临床实践建议.
- 了解上下文因素对于在各种医疗保健环境中成功实施建议至关重要.
研究的目的:
- 探索影响实证临床实践建议在初级卫生保健 (PHC) 中对患有CMSP的成年人实施的情境因素.
主要方法:
- 在南非开普敦进行了一项定性描述性研究.
- 一个由13名医疗保健专业人员组成的多学科小组参加了四个重点小组讨论.
- 使用诱导性内容分析来确定影响推实施的主题.
主要成果:
- 出现了五个关键的背景主题:医疗保健系统组织,人力资源需求,提供者实践模式,患者赋权和政策整合.
- 这些因素对于成功实施CMSP临床建议至关重要.
- 识别这些因素作为障碍物或促进者对于有效的知识翻译至关重要.
结论:
- 不同的背景因素影响了CMSP管理建议在PHC的实施.
- 通过医疗保健政策和多部门合作支持的综合系统方法对于成功实施至关重要.
- 这些发现有助于制定有针对性的知识翻译策略,以改善CMSP护理.
相关概念视频
01:25Analgesia and Pain Management
525
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
525
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
01:26Guidelines for Nursing Documentation II
1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
01:15Nursing Implementation
4.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.9K
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K