手术病房巡回的核心参与者的经验和需求:定性探索性研究
Helle Poulsen1,2,3, Jane Clemensen4,5,6, Jette Ammentorp6,7
1Department of Surgery, Lillebaelt Hospital, University Hospital of Southern Denmark, Sygehusvej 24, Kolding, DK-6000, Denmark, 45 76362665.
外科病房巡回 (SWRs) 往往排除了患者和护士,阻碍了合作. 这项研究强调了改善SWR的必要性,表明数字工具可以增强以患者为中心的护理.
科学领域:
- 医疗保健提供研究 医疗保健研究
- 患者参与策略 患者参与策略
- 质量健康研究 质量健康研究
背景情况:
- 外科病房巡回 (SWR) 传统上涉及患者,家属和床边护士的有限参与.
- 目前的SWR通常缺乏协作,以人为中心的方法,尽管有潜在的好处.
研究的目的:
- 探索医生,护士,患者和亲属在SWR期间的经验和需求.
- 为改善SWR提供参与式设计流程的信息.
主要方法:
- 使用民族学实地研究进行定性探索性研究.
- 与医疗保健提供者,患者和亲属的重点小组.
- 在出院后的家庭访问期间进行双层面试.
- 用于数据分析的系统文本缩写.
主要成果:
- 组织问题,传统角色和文化规范对SWR质量,效率和用户体验产生了负面影响.
- 与外科手术任务相比,SWR往往是例行驱动的,以治疗为重点的,并且没有优先级.
- 不可预测性导致参与者没有准备,护士,患者和亲属的参与受到限制.
结论:
- 在SWR的结构和关键参与者的需求之间存在很大的差距.
- 数字技术被认为是解决SWR中所面临的挑战的潜在解决方案.
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