改善心力衰竭患者的出院教育和结果
Bernice D Mowery1, Erin Brand, Demeke Gisila
1Bernice D. Mowery and Rebecca Babb are nurse scientists at Inova Health System in Falls Church, VA, where Abhi Bhuvanesh is system director of quality improvement and Kathleen Russell-Babin is vice president of professional practice. Erin Brand is an RN unit supervisor at Inova Loudoun Hospital in Leesburg, VA. Demeke Gisila is an RN unit supervisor at Inova Alexandria Hospital in Alexandria, VA. Katie Healy is a staff nurse at Inova Fairfax Medical Campus in Falls Church, VA. Tigist A. Mannaye is an RN unit supervisor at Inova Mount Vernon Hospital in Alexandria, VA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org . The authors have disclosed no potential conflicts of interest, financial or otherwise.
实施科学 (IS) 有助于维持基于证据的实践. 一个由护士领导的团队使用IS实施心力衰竭退院教育,旨在减少再入院并改善患者的治疗结果.
科学领域:
- 实施科学 实施科学
- 医疗保健 医疗保健 提供 研究 研究
- 临床护理实践 临床护理实践
背景情况:
- 维持基于证据的实践对于有效的临床护理至关重要.
- 心力衰竭再入院对患者和医疗保健系统构成重大负担.
- 有效的出院教育对于改善患者的治疗结果和减少再入院至关重要.
研究的目的:
- 描述实施科学 (IS) 概念,方法和工具的应用.
- 为心力衰竭患者详细实施护士主导的出院教育包.
- 评估干预对医院再入院,患者功能和满意度的影响.
主要方法:
- 在一个多站点医疗系统中采用护士领导的团队方法.
- 应用已建立的IS概念,方法和工具来实施干预.
- 专注于两个社区医院,以实施一个特定的放电教育包.
主要成果:
- 详细描述了实施过程及其结果.
- 该研究提供了关于IS在临床环境中的实际应用的见解.
- 这些发现有助于了解如何通过有针对性的教育减少心力衰竭再入院.
结论:
- 实施科学为维持医疗保健中基于证据的实践提供了一个框架.
- 使用IS的护士主导的举措可以有效地改善患者护理并减少再入院.
- 这项研究强调了为心力衰竭管理提供量身定制的出院教育的重要性.
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