混合方法:利用患者报告的经验和对转移同意过程的直接观察,研究设施间转移系统
Joint Commission journal on quality and patient safety
|February 15, 2025
概括
患者在急诊室转移时的经历揭示了沟通缺口和后勤挑战. 改善设施间转移的这些方面可以提高患者的参与度和决策能力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 定性研究是指质量研究.
背景情况:
- 设施间转移是一个关键的医疗保健过程,缺乏标准化的患者参与协议.
- 对于患者和护理伙伴在急诊室 (ED) 到ED转移期间的经历,了解有限.
研究的目的:
- 质量地探索老年成人患者及其护理伙伴经历的跨设施ED到ED转移的经验.
- 确定影响患者和护理合作伙伴对转移过程感知的关键主题.
主要方法:
- 混合方法方法结合了与患者和护理合作伙伴 (n=35) 的床边半结构面试.
- 在社区推ED中直接观察转移同意过程 (n=14次).
主要成果:
- 关键主题包括沟通缺陷 (缺乏代理),后勤问题 (等待时间),家庭影响 (距离),财务不确定性 (成本) 和对护理质量的看法差异.
- 观察到转移同意实践的变化,并确定了患者报告的问题,如分心,缺乏隐私和健康素养挑战.
结论:
- 调查结果突出了改善设施间转移护理的机会.
- 加强患者和护理合作伙伴的参与和共享决策对于将护理与患者目标保持一致至关重要.
更多相关视频
相关概念视频
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
Documentation in Long-Term and Home Healthcare Setting
868
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
868
Data Collection III
2.6K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
2.6K
Types of Reports I: Hands-off Report
879
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
879
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Observational Studies
8.2K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.2K


