在社区医院使用 ReSPECT 紧急护理和治疗计划:质量改善倡议
Christine Penhale1, Catherine Evans2, Lisa O'Hara3
1ReSPECT Lead, Sussex Community NHS Foundation Trust.
概括
推的紧急护理和治疗总结计划 (ReSPECT) 改善了面临衰退风险的成年人的紧急护理. 在社区医院的实施增加了RESPECT对话和护理计划的质量.
科学领域:
- 老年医学 老年医学
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 紧急护理和治疗的建议总结计划 (ReSPECT) 是指导无法沟通的个人紧急治疗决策的关键工具.
- 尊重计划对于支持健康状况下降的成年人来说尤为重要.
研究的目的:
- 在临床实践中实施,评估和嵌入 ReSPECT 会话.
- 为了提高患者在工作时间以外的护理期间的安全性.
- 改善患者及其家属在紧急护理计划中的参与.
主要方法:
- 采用了质量改进设计,以规范化过程理论 (NPT) 为指导.
- 这项研究是在2022年5月至2023年9月期间在一个35张床位的社区医院病房进行的.
- 通过对ReSPECT计划的分析,观察和后续焦点小组收集数据,得到了组织优先级,促进者和冠军的支持.
主要成果:
- 在一年内,RESPECT对话的数量显著增加了43%,从23名患者增加到32名患者.
- ReSPECT计划的质量大大提高,35名患者中有32名有个性化计划,相比之下,23名患者中有15名之前缺乏ReSPECT计划,尽管他们决定不尝试复苏.
结论:
- 在社区医院设置中,有专门的促进者和冠军,ReSPECT的实施是可行的.
- 成功实施的战略正在被用来指导在社区医院病房中更广泛的推广,用于多种疾病的脆弱成年人.
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