在加拿大不列颠哥伦比亚省建立一个共同的护理定义为托儿所社会提供的护理:一个德尔菲过程
Simon Anderson1, Rachel Z Carter2,1, Della Roberts1
1BC Centre for Palliative Care, Vancouver, BC, Canada.
Palliative care and social practice
|February 20, 2025
概括
在不列颠哥伦比亚省制定了一项关于临终关怀的共识定义,以提高临终关怀协会的认识和利用. 这一标准化定义旨在提高全省终身护理的获取和质量.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 社区健康 社区健康
背景情况:
- 在不列颠哥伦比亚省的城市,农村和偏远地区,有超过70个宿舍社团运作.
- 低利用源于对他们独特的社区角色缺乏认识和对服务的误解.
- 需要一个明确的定义来引导公众的理解和医疗保健的整合.
研究的目的:
- 在不列颠哥伦比亚省建立基于共识的护理定义,为托儿所社会提供的护理.
- 创建一个适用于政府,医疗保健,社区组织和公众的定义.
- 提高宿舍服务的可见性和可访问性.
主要方法:
- 采用了经过修改的Delphi方法,并通过对现有文献的环境扫描来获取信息.
- 一个由56名专家组成的专家小组参加了会议,其中包括临终关怀和息护理专家以及有实践经验的个人.
- 在六轮调查中,共识要求整个小组和宿舍代表达成75%的同意.
主要成果:
- 在共同的临终关怀定义上达成共识,并制定了三个版本 (全,中,短).
- 协议水平很高:完整/中等版本的85% (整体/宿舍) 和缩短版本的94% (整体,100%宿舍).
- 关于护理组件的不同意见强调了对标准化定义的必要性.
结论:
- 达成共识的定义提供了清晰度和对不列颠哥伦比亚省的宿舍社会护理的共享理解.
- 预计这种清晰度将增加宿舍社会利用率和访问率.
- 该定义将支持宣传,为省级临终关怀的质量和可持续性做出贡献.
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