关于高级脆弱性护理咨询的虚拟目标:一种定性实施研究,提供从流行病中获得的见解
Nabha Shetty1,2, Tanya MacLeod3, Ashley Paige Miller1,2
1Dalhousie University, Faculty of Medicine, Department of Medicine, Halifax.
一个虚拟专业计划通过将干预措施与居民需求相协调,在健康危机期间改善了长期护理 (LTC) 设施的护理. 维持这些脆弱信息化的护理计划需要解决跨部门的挑战和护理理念.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 长期护理 (LTC) 设施在COVID-19流行病等健康危机期间为居民设定护理目标 (GoC) 遇到了困难.
- 推出了一个虚拟的专家咨询计划,根据居民的脆弱性和预期结果来定制护理干预措施.
研究的目的:
- 调查影响LTC环境中虚拟专家咨询计划实施和长期可持续性的障碍和促进者.
- 了解这个计划是如何影响护理和居民的结果.
主要方法:
- 与20名参与者进行了结构化采访,包括LTC领导层,医疗保健工作人员和计划成员.
- 用专题分析分析定性数据,并根据实施研究综合框架 (CFIR) 构造进行编码.
主要成果:
- 该计划提高了护理质量,减少了不必要的医院转移.
- 关键的推动因素包括强烈的变革需求,计划优先级,感知优势,以及团队对脆弱信息护理的统一理解.
- 由于国务院的不同方法和LTC和急性护理之间的沟通差距,实施面临挑战.
结论:
- 虚拟专家咨询服务可以有效地嵌入LTC,特别是在危机期间,通过培养协会关系和共享护理理念.
- 维持这些跨部门的GOC服务面临挑战,原因是工作负载的转移和对终身护理的文化观点.
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