在肝病中开发息护理干预措施,使用形成性和总结性定性评估.
Marie Bakitas1, Nicholas Hoppmann2, Macy Stockdill3
1Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Hepatology (Baltimore, Md.)
|April 17, 2025
概括
质量评估对于完善末期肝病 (ESLD) 的息护理干预措施至关重要. 这些方法确保了有效的资源分配,并改善了患者和护理人员的生活质量.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
- 定性研究方法 定性研究方法
背景情况:
- 将息治疗整合到末期肝病 (ESLD) 管理中需要有效的干预措施.
- 干预措施的开发和评估是复杂,系统和耗时的过程.
- 定性研究,包括形成性和总结性评估,对于理解干预机制,改进需求和实施因素至关重要.
研究的目的:
- 总结定性形成性和总结性评估方法如何为ESLD的息护理整合干预措施的设计,适应和评估提供信息.
- 描述一个质量总结性评估研究,嵌入一个更大的随机试验 (末期肝脏疾病的息治疗).
- 探索患者,家庭和临床医师对息护理干预的观点,以了解实施 (忠实性) 并为未来的整合提供路线图.
主要方法:
- 定性形成性和总结性评估方法.
- 在19个地点的集群随机试验中嵌入了定性总结评估.
- 收集和分析患者,家庭和临床医生对息护理干预的看法.
主要成果:
- 定性评估提供了关于干预可行性,可接受性和以患者为中心的关键信息.
- 嵌入的定性研究探讨了息护理干预如何实施 (忠实性).
- 人口统计数据表明,定性样本代表了基因随机临床试验人群.
结论:
- 形成性和总结性评估对于改善ESLD中的息护理干预措施至关重要.
- 这些评估确保公平有效地利用稀缺的息护理资源.
- 定性方法有助于提高患者和护理人员的生活质量和整体护理体验.
相关概念视频
01:25Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
01:27Nursing Ethical Principles II
889
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
889
01:30Ethical Dilemmas II
840
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
840
01:29Planning Nursing Care II
2.4K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.4K
01:27Ethical Issues
801
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
801
01:15Nursing Evaluation
3.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.1K