"谁有这种关系?谁有这种关系?" ":照顾医疗复杂性的儿童的共享人口
P Galen DiDomizio1, Madeleine Johnson2, Annie Friedrich3
1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Journal of palliative medicine
|December 24, 2024
概括
儿科复杂护理和息护理团队对患有医疗复杂性 (CMC) 的儿童有着不同的和重叠的角色. 提供者关系,而不是程序界限,往往定义这些角色,突出需要进一步的合作研究.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 跨学科护理模式 跨学科护理模式
- 复杂的护理管理.
背景情况:
- 学术儿科中心为患有医疗复杂性 (CMC) 的儿童使用复杂护理和息护理计划.
- 关于这些专门的儿科护理团队之间最佳协作策略的数据有限.
- 了解不同且重叠的角色对于改善CMC的护理协调至关重要.
研究的目的:
- 探索儿科综合护理和息护理提供者的角色和责任.
- 在管理共享的CMC群体中识别不同的和重叠的功能.
- 了解提供者对CMC团队间协作的看法.
主要方法:
- 使用与儿科提供者进行半结构面试的定性研究.
- 参与者包括复杂护理和息治疗的医生和护士执业人员.
- 专题分析用于分析来自中西部学术医疗中心的转录采访数据.
主要成果:
- 综合护理和息护理团队在各种角色上发挥作用:复杂倾向,息倾向或混合.
- 提供者-家庭关系,而不是严格的程序界限,往往塑造临床角色.
- 在照顾CMC时,双方团队的责任存在显著的重叠.
结论:
- 儿科综合护理和息护理团队为CMC提供独特和共享的服务.
- 角色重叠的程度因机构和个人提供者家庭动态而异.
- 建议进行进一步的研究,以调查合作实践和家庭对双重团队护理的看法.
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