对澳大利亚肝衰竭试验的参与者和从业者的经验进行定性调查
Jeyamani Ramachandran1,2, Anuradha Pati3, Luisa Wigg4
1Hepatology and Liver Transplantation Medicine Unit, Flinders Medical Centre, Bedford Park, South Australia, Australia jeyamani.ramachandran@sa.gov.au.
BMJ open
|February 16, 2025
概括
澳大利亚肝衰竭 (ALFIE) 试验护士主导的护理模式改善了患者体验和医院导航. 然而,护士们发现工作量压倒性的,突出需要增加人员和更好的沟通.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 护理护理模式 护理护理模式
- 患者体验 患者体验
背景情况:
- 澳大利亚肝衰竭 (ALFIE) 试验研究了护士协调的护理模式,用于去补偿性肝硬化患者.
- 这种模式旨在通过专门的护理支持来减少与肝脏有关的急诊 (LREAs).
研究的目的:
- 在ALFIE试验中探索患者和医疗保健专业人员的经验.
- 确定护士协调护理模式的影响,障碍和改进领域.
主要方法:
- 在ALFIE试验中使用半结构面试进行的定性研究.
- 有目的的抽样包括15名干预患者,14名对照患者和12名工作人员.
- 对面试成绩单进行了主题分析.
主要成果:
- 参与者和护士认为护理是个性化的,整体的和持续的,培养信任和参与.
- 干预帮助患者在医院系统中导航;对照患者希望得到更多的支持.
- 护士报告LREA减少,但工作负载过重,发现系统性障碍.
结论:
- ALFIE试验的护士协调护理得到了参与者和护士的积极欢迎.
- 该模型有效地满足了患者和卫生系统的需求,提供了个性化,持续的护理.
- 系统改进的关键领域包括人员配置,心理健康支持和初级保健沟通.
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