需要使用Donabedian框架对虚拟护理实施进行评估
Saif Khairat1, Jennifer Morelli, Barbara S Edson
1Author Affiliations: School of Nursing, Carolina Health Informatics Program, Sheps Center for Health Services Research, University of North Carolina at Chapel Hill (Khairat); School of Nursing, University of North Carolina at Chapel Hill (Morelli and Jones); Virtual Care Center, NC Health (Edson); and UNC Health Rex (Aucoin).
实施虚拟护理需要特定的结构和流程. 关键要素包括足够的人员,适当的设备,专用空间,全面的培训和强大的支持系统,以解决护士短缺问题.
科学领域:
- 医疗保健管理的管理
- 护理信息学 护理信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 严重的护理人员短缺会影响医疗保健的获取,结果和成本.
- 虚拟护理模型利用技术提供远程专家护理服务.
- 对于虚拟护理的实施结构和流程的了解有限.
研究的目的:
- 描述实施虚拟护理团队所必需的结构和流程.
- 确定在医疗保健系统中成功采用虚拟护理计划的关键要求.
主要方法:
- 进行了观察性和定性评估.
- 这项研究的重点是美国一家主要医疗中心的虚拟护理团队.
- 使用Donabedian框架来分析结构和流程.
主要成果:
- 关键的实施因素包括每班虚拟护士人员数量.
- 适当的虚拟护理设备和专用物理空间的可用性至关重要.
- 有效培训虚拟遭遇的最佳实践,EHR利用,政策和支持资源至关重要.
结论:
- 成功的虚拟护理实施取决于优化特定的结构和流程元素.
- 这些发现为改善医疗保健提供和缓解护理人员短缺提供了洞察力.
- 进一步的研究可以建立在对虚拟护理计划的这些确定要求的基础上.
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