支持以居民为中心的关于从长期护理院到医院的过渡的决策:定性研究协议
Alixe Ménard1, Lauren Konikoff2, Michaela Adams3
1Department of Medicine, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada alimenard@ohri.ca.
BMJ open
|November 30, 2024
概括
可以改善从长期护理 (LTC) 到医院的护理过渡. 本研究研究了居民和工作人员的经验,以共同设计一个工具,以便在过渡期间更好地做出决策.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 患者体验 患者体验
背景情况:
- 从长期护理 (LTC) 到医院的护理过渡可能是繁的,并且与居民价值观不一致.
- 关于潜在转移的讨论对于明智的决策至关重要.
- 目前的流程可能没有充分准备居民,家庭或工作人员对这些过渡.
研究的目的:
- 检查LTC居民,家庭/朋友护理合作伙伴和工作人员在LTC到医院过渡期间关于决策的经验.
- 共同设计一个决策支持工具,以协助过渡性决策,优先考虑居民和护理伙伴的需求和偏好.
主要方法:
- 使用半结构面试和现有工具的内容分析进行定性研究.
- 一系列代码设计研讨会,涉及住户,护理合作伙伴和工作人员.
- 该研究以以人为本的长期护理实践框架为指导,并使用反射性主题分析.
主要成果:
- 该部分应在研究结果可用后填写.
- 该研究旨在确定在护理过渡期间影响决策的关键因素.
- 调查结果将为开发一个实际的决策支持工具提供信息.
结论:
- 有效的护理过渡规划需要了解所有利益相关者的观点.
- 一个代码设计的决策支持工具有潜力提高护理过渡的质量和以人为中心.
- 未来的阶段将涉及对开发的工具进行试点测试和评估.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716


