专业间合作和患者/家庭参与在综合性中风中心的轮次:混合方法研究
Anping Xie1, E Alexandra Barany, Elizabeth K Tanner
1Author Affiliations: Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Xie); Departments of Anesthesiology and Critical Care Medicine (Dr Xie) and Neurology (Drs Bahouth, Salas, and Zink), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Nursing, The Johns Hopkins Hospital, Baltimore, Maryland (Drs Barany, Watson, Zink, and Hairston and Ms Shakes); Johns Hopkins University School of Nursing (Drs Tanner, Hanson, Hansen, McDonald, and Hairston), Baltimore, Maryland; and Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington (Dr Abu-Rish Blakeney).
改善中风护理需要更好的专业间合作和患者参与日常治疗. 目前的做法显示出不一致性,突出需要修订的圆形模型,以加强团队合作和患者参与.
科学领域:
- 神经科学是一个神经科学.
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
背景情况:
- 每日一轮的治疗对于专业间的合作和患者/家庭参与中风护理至关重要.
- 在综合性中风中心进行了基线评估,以评估当前的圆形化过程.
- 结果将指导改进的圆形化模型的开发.
研究的目的:
- 在日常工作中评估专业间的合作.
- 在当前的圆形化过程中评估患者和家庭的参与.
- 确定中风护理环节需要改进的领域.
主要方法:
- 采用了一种混合方法的方法,采用了融合的并行设计.
- 观察量化了专业间的合作和患者/家庭的参与.
- 定性访谈探讨了利益相关者对当前圆形化做法的看法.
主要成果:
- 观察了103次餐桌环节和99次床边环节;进行了30次采访.
- 专业间的合作被认为是积极的,但由于临床需求,参与是不一致的.
- 在床边巡视期间,患者和家庭的参与不一致.
结论:
- 目前的圆形化流程为加强专业间合作提供了机会.
- 患者和家属不一致的参与需要对流程进行修订.
- 建议侧重于对中风后患者的修订后,协作圆形化模型.
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