在重症监护中进行顾问级治疗实践的定性探索
Paul Twose1,2, Ella Terblanche3, Laura Jones1
1Physiotherapy Department, University Hospital of Wales, Cardiff, UK.
Journal of the Intensive Care Society
|March 18, 2025
概括
在重症监护中,顾问级别的医疗保健专业人员对患者的治疗结果和服务提供有积极的影响. 他们的角色受到高级工作人员的重视,以加强临床实践和战略规划.
科学领域:
- 关键护理医学 关键护理医学
- 盟友卫生专业的实践实践.
- 医疗保健领导力 医疗保健领导力
背景情况:
- 包括关联卫生专业人员 (AHPs) 在内的非医疗顾问角色已经建立,但在重症监护中代表性不足.
- 国家指导方针强调了这些角色在实践领域的重要性.
- 有限的研究存在于顾问级AHP在重症监护的具体贡献和影响.
研究的目的:
- 探索在重症监护机构工作的顾问级盟友卫生专业人员 (AHPs) 的感知影响.
- 了解与这些高级从业人员相关的角色,贡献和感知结果.
主要方法:
- 采用了定性方法,利用采访和重点小组.
- 有目的的抽样招募了顾问级重症监护职位的AHP和高级医疗/护理人员.
- 按照布劳恩和克拉克的方法论进行主题分析,用于分析收集的数据.
主要成果:
- 五名顾问级的AHP和七名高级医疗/护理人员参加了会议.
- 助理医生平均有3.2年的顾问职位和超过15年的重症监护经验.
- 出现了四个核心主题:范围,地位,支持性领导力和影响力,个人特征作为中心元素.
结论:
- 在重症监护中,顾问级的AHP承担着影响患者和服务结果的各种角色.
- 这些从业人员对地方,区域和国家工作流程做出了重大贡献.
- 高级医疗和护理人员认为这些角色有利于改善服务提供,患者结果和战略规划.
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