共同生产腹膜透析护理 护理质量护理的敏感指标:一个跨国共识 构建设计
Jessica Baillie1, Ann Bonner2, Sonia Guillouet3
1School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Journal of renal care
|January 28, 2025
概括
研究人员共同开发了护理敏感指标,以衡量腹腔透析护理护理质量. 这些指标重点关注患者满意度和临床结果,旨在提高护理标准.
科学领域:
- 科 护理 护理学
- 提高医疗保健的质量 改善医疗保健的质量
- 患者护理指标 患者护理指标
背景情况:
- 现有的护理敏感指标不适合腹透析护理实践.
- 需要特定的,可衡量的指标来评估腹腔透析护理护理的质量.
研究的目的:
- 共同开发一套针对腹膜透析护理的护理敏感指标.
- 建立一个框架来衡量腹腔透析护理护理的质量.
主要方法:
- 一个由多纳贝迪安质量框架 (结构,过程,结果) 提供信息的跨国联合制作共识设计.
- 一个专家小组提出了65个潜在的指标,通过共识会议和在线讨论来改进.
- 指标确认涉及25名护士在5分级别上对28个最终指标进行评分.
主要成果:
- 达成共识的过程使65个初始指标减少到28个 (8个结构指标,12个过程指标,8个结果指标).
- 所有28个指标都得到了护士的支持 (平均评分>3.5/5).
- 得到高度支持的指标包括患者满意度,液体平衡评估,导管部位护理,临床征兆测量,腹膜炎调查,并发症转诊和感染率.
结论:
- 共同开发的护理敏感指标提供了一种有效的手段来衡量腹膜透析护理质量.
- 在广泛实施之前,建议进一步测试有效性,可靠性和可行性.
- 这些指标可以提高接受腹膜透析的患者和家属的护理质量.
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