一个试点试验评估与护理人员的协作医疗接触:初级保健的基于检查清单的干预
Catherine Riffin1, Lilla Brody2, Jennifer L Wolff3
1Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
概括
协作医疗与护理人员接触 (CHEC) 干预改善了护理人员在老年人初级保健中的参与. CHEC增强了护理人员的知识和参与,并被证明可用于临床使用.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护理人员的参与对于老年人的医疗保健至关重要.
- 现有的初级保健模式往往缺乏对护理人员的结构化支持.
- 加强护理人员的参与可以改善患者的治疗结果和医疗保健效率.
研究的目的:
- 评估与护理人员 (CHEC) 合作医疗接触干预措施的可行性,可接受性和初步有效性.
- 确定CHEC是否提高了老年人初级保健访问中的护理人员参与和知识.
- 评估护理人员对CHEC检查清单的看法及其对初级保健互动的影响.
主要方法:
- 一项试点随机试验,涉及52名老年患者和护理人员.
- 滴滴被分配给CHEC干预或通常的护理.
- 分析了音频记录的访问,访问后的问卷评估了护理人员的结果.
主要成果:
- 护理人员认为CHEC干预是可行的,可以接受的.
- 在CHEC访问中,更多的时间用于讨论护理人员的担忧 (32.9%对18.9%,p = .04).
- CHEC的护理人员报告了更高的自我效能和对相关资源的更大知识.
结论:
- 协作医疗与护理人员接触 (CHEC) 干预措施显示出作为一种临床可行的方法的希望.
- CHEC有效地提高了护理人员在初级保健机构的参与和知识.
- 需要进一步的研究来证实CHEC在改善健康结果方面的有效性.
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