以公平为重点的干预措施改善了儿科重症监护病房的口译员使用情况
Lena Oliveros1,2, Hector Valdivia1,2, Colin Crook3
1Seattle Children's Hospital, Seattle, Washington.
Pediatrics
|December 4, 2024
概括
有针对性的干预措施显著改善了儿科重症监护室 (PICU) 的口译员使用情况,增强了对英语水平有限的重症儿童的公平照顾. 这项质量改善举措增加了口译率和花费在口译上的时间.
科学领域:
- 改善医疗质量 改善医疗质量
- 儿科重症监护 儿科重症监护
- 健康 公平 卫生 公平
背景情况:
- 联邦指导方针要求对非英语患者进行语言翻译,以确保公平的护理.
- 在重症监护机构中使用口译服务存在显著的变化.
- 这项研究的重点是改善儿科重症监护室 (PICU) 的口译员使用情况.
研究的目的:
- 提高儿童患者在PICU中需要语言辅助的口译员使用率.
- 解决对英语水平有限的重症儿童公平照顾的障碍.
主要方法:
- 一个多学科团队使用关键驱动图和代的计划-做-研究-行动循环来指导干预.
- 干预措施包括标准化口译技术和设备放置,提供者教育和问责制系统.
- 通过使用统计过程控制方法分析了882次PICU遭遇 (2018年1月-2022年1月) 的数据.
主要成果:
- 整体翻译率从每名患者每天的1.4翻译增加到2.7翻译.
- 所有解释方式 (视频,电话,面对面) 的使用率都增加.
- 每天每名患者的平均翻译时间在电话 (8到10.5分钟) 和视频 (9.5到22分钟) 上都增加了.
结论:
- 代质量改进在识别和克服公平护理障碍方面是有效的.
- 针对性干预成功增强了对重症儿科患者的口译员使用.
- 该研究强调了系统方法的重要性,以改善重症监护机构的语言访问.
相关概念视频
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.8K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.8K
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
Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
Nursing 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
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Nursing Interventions I: Taxonomy of Nursing Interventions
2.5K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
2.5K


