在宿舍多学科团队会议期间启动预后谈话:对话分析研究
Andrea Bruun1,2, Nicola White1, Linda Oostendorp1
1Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Journal of palliative care
|November 14, 2024
概括
息护理多学科团队在病例介绍和出院计划讨论中嵌入患者预后. 这项研究揭示了在宿舍团队会议中,预后谈话是如何启动和响应的.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学沟通 医学沟通
- 医疗保健管理的管理
背景情况:
- 临床指南主张有多学科的息护理团队 (MDT) 讨论患者的预后.
- 有限的证据详细说明MDT如何进行预后讨论,特别是会议期间的启动.
研究的目的:
- 探索宿舍MDT会议中的预后谈话的启动和响应模式.
- 了解在息治疗中围绕预后讨论的对话动态.
主要方法:
- 分析了24个视频录制的住院MDT会议在英国住院 (2021年5月至12月).
- 包括65名MDT成员.
- 会议录音的分析.会议录音的分析.
主要成果:
- 预后谈话是在患者病例介绍期间开始的,通常与特定的模板项目 (例如,疾病阶段,卡诺夫斯基的表现状态) 相关联.
- 预测也作为缺少模板信息的解释和在放电规划讨论期间出现.
- 提供的预测通常引起了其他团队成员的最小,确认的反应.
结论:
- 患者的预后被整合到医院MDT会议中的更广泛的护理对话中.
- 结果可以为制定临床指南和干预措施提供信息,以加强MDT预后讨论.
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