在威尔士治理产科出血:使用规范化过程理论对OBS Cymru护理包进行定性评估
Tanvi Rai1, Lisa E Hinton1, Rosa Mackay1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
PloS one
|April 29, 2025
概括
产后出血策略 (OBS) 护理包现在是威尔士的标准产后出血 (PPH) 护理. 它的形式帮助沟通和角色明确,为英国更广泛的实施提供信息.
科学领域:
- 产科 产科 产科 产科 产科
- 医疗保健 实施 科学 科学
- 患者安全 患者安全
背景情况:
- 产后出血 (PPH) 仍然是全球主要的孕产妇死亡原因.
- 产科出血策略 (OBS) 护理包在2019年在威尔士实施 (OBS Cymru).
- 通过后五年进行了定性评估,以优化英国范围内的实施.
研究的目的:
- 质量评估威尔士孕产妇单位OBS护理套餐的实施和规范化.
- 确定OBS捆绑使用的促进者和障碍.
- 为优化整个英国OBS实施提供信息.
主要方法:
- 在四个威尔士产科单位进行多学科团队 (MDT) 的民族观测和定性采访.
- 通过规范化过程理论支持的主题分析.
- 在采用5年后对护理包的评估.
主要成果:
- 每天都在使用OBS Cymru协议,MDT成员报告说,PPH管理质量和安全性有所改善.
- 支持的形式作为一个"边界对象",澄清角色和增强在PPH事件期间的沟通.
- 标准化促进了PPH知识的共享,尽管由于人员配置和案件量存在实践中的微小差异.
结论:
- 在威尔士,OBS护理包已经成为标准的PPH护理标准,尽管有微小的变化.
- 准备表的中心地位和需要更明确的员工角色期望是关键的见解.
- 调查结果为正在进行的OBS UK试验的实施策略提供了信息.
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