实践人员对实施急性虚拟病房的观点:一个范围审查
Theresa Sunny1, Nandakumar Ravichandran1, John Broughan2
1School of Medicine, University College Dublin, Dublin, Ireland.
PLOS digital health
|May 9, 2025
概括
虚拟病房提供了医院护理的替代方案,可以提前出院和在家进行急性治疗. 了解从业者的观点是成功实施这些虚拟病房服务的关键.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 患者护理模式的模型
背景情况:
- 虚拟病房正在成为在传统医院环境之外提供急性护理的新方法.
- 虚拟病房旨在促进患者提前出院,并在家中提供急性医疗护理,以提高医疗保健的效率和可持续性.
- 了解医疗保健从业者的观点对于成功整合和运营虚拟病房至关重要.
研究的目的:
- 探索和综合医疗保健从业人员关于虚拟病房实施的观点.
- 从前线工作人员的角度来看,确定与虚拟病房的采用和运营成功相关的关键主题和挑战.
主要方法:
- 根据PRISMA扩展范围审查 (PRISMA-ScR) 准则进行了全面的范围审查.
- 从2015年到2024年,主要数据库 (PubMed,Cochrane,CINAHL,Embase) 进行了搜索,确定了201项相关研究.
- 利用Braun和Clarke的框架进行主题分析,对18项选定的研究进行了应用,以提取和分类关键见解.
主要成果:
- 关于虚拟病房实施的关键主题出现了,包括服务设计,护理质量,技术整合,员工培训和整体意识.
- 实践人员的观点强调了影响虚拟病房采用的重大挑战,例如患者安全问题和需要强大的技术基础设施.
- 审查确定了虚拟病房运营成功的关键考虑因素,强调解决劳动力培训和发展的重要性.
结论:
- 虚拟病房为有效和可持续的急性护理提供提供了巨大的潜力,为住院服务提供了可行的替代方案.
- 解决服务设计的挑战,确保患者安全,优化技术,并提供足够的劳动力培训对于虚拟病房的成功实施和长期有效性至关重要.
- 需要进一步的研究和战略规划,以克服障碍,并最大限度地利用医疗保健系统中虚拟病房模型的好处.
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