评估蒙特利尔的城市社区息护理:识别质量改善的差距和机会
Karin Fink1,2,3,4, Lorne Wiseblatt5, Charles-Olivier Basile5
1McGill University Health Center, Montréal, QC, Canada.
The American journal of hospice & palliative care
|April 21, 2025
概括
基于社区的息护理团队经常遵循最佳实践,但在获得和支持方面表现出显著的差异. 许多服务缺乏必要的精神精神和个人护理,突出了需要更广泛关注的系统级问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
- 提高质量 提高质量
背景情况:
- 卫生系统认识到社区息治疗的重要性.
- 在提供这些基本服务方面存在很大的差异.
- 质量改进倡议旨在标准化和提高重症患者的护理.
研究的目的:
- 描述加拿大主要城市公共可访问的基于社区的息护理服务.
- 评估对结构和流程的最佳实践建议的遵守情况.
- 识别需要改善的护理服务领域.
主要方法:
- 对医疗保健工作者进行的横截面调查.
- 评估团队组成,护理准入,提供,连续性和过渡.
- 对息治疗的已建立的最佳实践基准进行评估.
主要成果:
- 团队经常使用多学科的方法,并提供24/7的访问.
- 从住院到住院的护理过渡通常是管理得很好.
- 观察到访问和预后入学标准的显著变化.
- 超过75%的团队缺乏专门的精神精神和个人护理支持.
结论:
- 基于社区的息护理服务在组织和流程上表现出多样性.
- 心理精神和个人护理支持方面的差距普遍存在.
- 调查结果表明系统性问题可能广泛存在,需要进一步调查.
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