一个跨专业的多元组件干预措施,以改善生命终端护理在重症监护:一个前后的研究
Tania Lovell1, Marion Mitchell2, Madeleine Powell3
1Intensive Care Unit, Princess Alexandra Hospital, Metro South Health, Queensland, Australia.
一项多元组件干预改善了重症监护病房 (ICU) 的生命终端护理 (EOLC) 质量,提高了临床医生的看法. 需要进一步的工作来解决临床医生的压力和在EOLC期间的支持.
科学领域:
- 临界护理医学 临界护理医学
- 抚慰性护理是一种缓解性护理.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 终身护理 (EOLC) 是重症监护室 (ICU) 实践的组成部分.
- 多组件,跨学科的干预措施可以提高EOLC的质量和患者/家庭/临床医生的体验.
研究的目的:
- 评估多组件干预对ICU EOLC实践的影响.
- 评估家庭和临床医生对EOLC的看法的变化.
主要方法:
- 在30个床位的成人三级ICU中进行的干预前后研究.
- 干预包括EOLC指南,环境资源,教育,网络资源和文档更改.
- 通过电子健康记录审计和家庭/临床医生调查收集的数据;使用千平方,t测试和曼-惠特尼U测试进行统计分析.
主要成果:
- 干预后:减少了记录的观察/药物,增加了不相关的侵入性设备的移除.
- 家庭满意度显示非显著改善 (4.5至5/5).
- 临床医生报告了对EOLC质量感知的统计学上显著改善 (P < 0.01),但工作压力和支持需要进一步关注.
结论:
- 跨学科的干预成功地提高了EOLC的质量,得到了图表审计和感知的支持.
- 持续的跨学科合作对于ICU的所有利益相关者持续提供高质量的EOLC至关重要.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
相关概念视频
Interdisciplinary Care: The Health Care Team-II
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...
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Ethical Dilemmas II
Nursing Interventions I: Taxonomy of Nursing Interventions
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...
Ethical Issues
Ethical Concerns in Healthcare:
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
