在干细胞移植中实施电子健康促进的综合护理模式的实施和伦理问题:一项定性过程评估研究
Linda Wienands1,2, Julia Krumme3, Sabina De Geest2,4
1Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Digital health
|May 5, 2025
概括
这项研究评估了干细胞移植中的电子健康促进综合护理模型 (eICM),确定了实施和道德挑战. 综合方法产生了17种策略,以改善患者护理和提供者体验.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 医学伦理 医学伦理
背景情况:
- 电子卫生促进的综合护理模型 (eICMs) 对干细胞移植有希望,但面临实施和道德障碍.
- 定性过程评估可以解决这些问题,但整合实施科学和应用伦理是新的.
研究的目的:
- 质量评估SMILe-ICM,一个干细胞移植eICM.
- 评估利益相关者对SMILe-ICM实施的看法.
- 识别和解决伦理问题,并制定缓解策略.
主要方法:
- 与患者 (n=12) 和亲属 (n=3) 的半结构面试.
- 与临床医生的重点小组 (n=8).
- 使用实施科学和医疗伦理框架进行主题分析,并得到伦理咨询的支持.
主要成果:
- 关于患者的旅程和康复感知,出现了三个主题.
- 一般来说,SMILe-ICM的价值很高,但在标准化程序,电子卫生使用和护理协调方面存在差异.
- 开发了17个实施策略,解决了个人,干预和设置特定因素.
结论:
- 该研究提供了对患者和提供者级别eICM实施和道德挑战的细微见解.
- 综合研究设计有助于早期识别和及时解决已识别的问题.
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