了解在重症监护单位改善生命末期护理的员工需求:定性焦点组分析和服务评估
Simon Tavabie1, Stephen Pearson2, Janet Balabanovic2
1Department of Palliative Medicine, Barts Health NHS Trust, London, UK.
The American journal of hospice & palliative care
|January 22, 2025
概括
临床护理工作人员确定了改善终身护理的重点优先事项,重点是对临终患者的认可,理解,联系,合作和支持. 这些见解旨在提高护理质量和员工赋权.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一项非常重要的护理.
- 医疗保健专业的研究研究.
背景情况:
- 重症监护机构的死亡率很高,多达25%的入院患者在入院期间死亡.
- 在重症监护中照顾垂死患者,对医疗保健工作人员来说,这给医疗保健工作人员带来了重大的实际,专业和个人挑战.
研究的目的:
- 探索重症监护人员对临终病人护理的看法.
- 确定工作人员优先考虑的领域,以改善临终关怀在重症监护单位.
主要方法:
- 在伦敦一家医院信任中,与多学科重症监护人员 (n=34) 进行了三个半结构化的焦点小组.
- 利用数字化转录的讨论的感应性主题分析来确定关键主题和优先事项.
主要成果:
- 确定了五个核心主题:识别 (死亡轨迹),理解 (观点和沟通),连接 (治疗关系),协作 (团队合作) 和支持 (工作人员和患者).
- 主题突出了需要识别患者"足够生病以至于死亡"和潜在的快速恶化.
- 强调优先安排时间进行对话,培养治疗关系,加强团队间和团队内部的合作和支持.
结论:
- 制定了一种方法来确定关键护理中生命终端护理改进计划的部门优先事项.
- 提取的主题将为对临终病人系统的评估提供信息,使工作人员能够提供卓越的护理.
- 结果指导服务改进,包括定制培训和支持,以加强沟通,协作和高质量的终身护理.
更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.8K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.2K
相关概念视频
01:27Ethical Issues
845
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
845
01:30Ethical Dilemmas II
918
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
918
01:17Endotracheal Intubation II: Nursing Management
459
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
459
01:25Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
01:21Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
01:15Endotracheal Intubation I: Procedure
660
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
660