在透析诊所实施预先护理规划干预
Mi-Kyung Song1, Laura Plantinga2, Maureen Metzger3
1Center for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing Atlanta, Georgia.
概括
分享患者病情表述以增加信任 (SPIRIT) 干预措施在透析患者,代孕者和提供者中显示出高忠实性和积极的接收. 然而,人事和情绪负担等实施挑战需要进一步的支持和研究.
科学领域:
- 提前护理计划 提前护理计划
- 实施科学 实施科学
- 透析患者的护理和照顾
背景情况:
- 预先的护理规划对于透析患者及其代孕产妇至关重要.
- 分享患者疾病表述以增加信任 (SPIRIT) 的干预旨在改善沟通和信任.
- 需要进行流程评估,以评估 SPIRIT 在现实环境中的实施潜力.
研究的目的:
- 在5个州的集群随机试验中对SPIRIT干预进行过程评估.
- 评估SPIRIT实施的覆盖范围,忠实性,可持续性和背景.
- 确定阻碍和促进SPIRIT成功融入透析护理的障碍和促进者.
主要方法:
- 在一个集群随机试验中,采用了一种描述性研究设计.
- 参与者包括22家诊所的231名患者替代者和60名透析护理提供者.
- 收集了关于干预范围,真实性 (使用检查清单和调查),可接受性和临床背景的数据.
主要成果:
- 观察到高达,有82.7%完成了第一个SPIRIT会议.
- 冠军在完成干预步骤时报告了高保真率 (98%-100%).
- 接受性调查显示,患者,代孕产妇和提供者对接受性有积极的看法,并报告了在沟通和人际关系方面的好处.
结论:
- 斯皮里特干预以高保真度进行,并得到了利益相关方的积极欢迎.
- 挑战包括日程安排,竞争的临床需求,以及冠军的情绪负担.
- 需要临床层面的支持和未来的实施策略来解决已识别的障碍.
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