在养老院管理尿路感染的共同方法改善了人们对护理质量,工作量和合作的感知 - - 这是一项定性研究
Sif Helene Arnold1,2, Melissa M W Thomsen2, Marius Brostrøm Kousgaard1
1The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Denmark.
Scandinavian journal of primary health care
|February 12, 2025
概括
结合感染预防和抗微生物管理 (AMS) 的新干预措施改善了养老院的尿路感染 (UTI) 管理. 这种方法提高了护理质量和协作,但由于身体出勤要求,面临实施挑战.
科学领域:
- 医疗保健管理的管理
- 传染病控制中的传染病控制
- 老年医学 老年医学
背景情况:
- 抗菌素耐药性 (AMR) 是一个全球性威胁,2019年有495万人死亡.
- 在养老院治疗尿路感染 (UTI) 有助于过度使用抗生素和AMR.
- 预防感染和抗微生物药物管理 (AMS) 是打击AMR的关键策略.
研究的目的:
- 评估一种新的跨部门干预措施对养老院中尿路感染管理的影响.
- 干预措施整合了感染预防,AMS和通用实践合作.
- 探索员工对干预对护理质量和工作流程的影响的看法.
主要方法:
- 为养老院和全科医院工作人员举办了一个为期3小时的研讨会.
- 使用反思表来评估居民,并将计划中的变化与实施联系起来.
- 在2022年,与丹麦首都地区的参与者进行了15次半结构面试.
主要成果:
- 该干预措施澄清了工作流程,并鼓励遵守协议.
- 它促进了养老院和全科医院之间的信任和尊重.
- 反思表改善了患者的评估,并将与UTI相关的查询减少到一般实践中.
结论:
- 该干预措施对经验丰富的护理质量,工作量和跨部门合作产生了积极的影响.
- 它展示了改善养老院中尿路感染管理的成功模式.
- 限制包括物理参加研讨会的要求所带来的可扩展性挑战.
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