了解个人化综合护理中的多病患者预先护理计划知识的协作管理中的复杂性
Fiona P Tulinayo1, Ana Ortega-Gil2,3, Nerea González2,3
1Information Technology Department, College of Computing & Information Sciences, Makerere University, Kampala, Uganda.
Journal of healthcare informatics research
|May 1, 2025
概括
医疗保健中的协作知识管理对于以患者为中心的护理至关重要. 解决文化,专业和系统障碍对于在多病患者中有效预先计划护理至关重要.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 系统思维 系统思维
背景情况:
- 医疗保健正在从父权主义模式转变为以患者为中心的模式,强调共享决策.
- 协作知识管理 (CKM) 对于整合医疗保健中的多元专业专业知识至关重要.
- 医疗保健中的CKM在管理跨学科合作和知识共享方面面临挑战.
研究的目的:
- 在个性化综合护理中,探索多病患者预先护理规划 (ACP) 的协作知识管理的复杂性.
- 在这种情况下,使用系统建模方法识别阻碍有效CKM的关键挑战.
主要方法:
- 采用了一个系统建模方法.
- 与来自巴斯克公共卫生系统 (Osakidetza) 的11名参与者进行了焦点小组讨论 (FGD).
- 为可视化系统动态,开发了因果循环图 (CLD).
主要成果:
- 确定了三个主要挑战:文化不愿讨论死亡,需要医疗保健专业人员的态度转变,以及系统需要采用整体的共享护理模式.
- 临床临床医生表示,如果不将ACP视为社会需求和临床实践组成部分,分散和父权主义的护理可能会恶化.
结论:
- 克服文化,专业和系统障碍对于成功的CKM在事先的护理规划中至关重要.
- 实施整体和共享护理模式对于改善多病患者的护理至关重要.
- 认可预先的护理计划作为社会需求是临床实践转型的关键.
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