在护理过渡期间的护理人员沟通和准备:随机对照试验的结果
Joan M Griffin1,2, Brystana G Kaufman3,4,5, Catherine E Vanderboom1
1Kern Center for the Science of Health Care Delivery Research, Mayo Clinic, Rochester, Minnesota, USA.
Journal of palliative medicine
|May 19, 2025
概括
基于视频的干预改善了家庭护理人员 (FCG) 管理严重疾病患者过渡的准备. 虽然护理人员的准备情况有所改善,但沟通实践需要进一步制定有针对性的策略.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 护理人员支持护理人员支持
背景情况:
- 家庭护理人员 (FCG) 对从医院到家中过渡的严重疾病患者至关重要.
- 养老小组往往缺乏足够的培训和支持来承担照顾和沟通的责任.
- 对于患者的治疗结果,FCG和医疗保健团队之间的有效沟通至关重要.
研究的目的:
- 评估一项为期八周的干预措施,旨在加强在医院过渡期间的FCG准备和沟通.
- 评估来自息护理护士的远程医疗支持对农村地区FCG的影响.
主要方法:
- 一个随机对照试验,涉及美国农村地区 (2018-2022) 的成年FCG.
- 干预组接受护士领导的视频访问;对照组每月接受一次电话.
- 测量结果包括FCG报告的准备和与医疗保健团队的沟通.
主要成果:
- 干预组在护理人员准备能力方面表现出统计学上显著的改善.
- 没有观察到FCG和医疗保健团队之间的沟通实践有显著的改善.
- 在调整了与护理过渡相关的因素后,调查结果保持一致.
结论:
- 远程医疗干预将息护理护士与农村FCG合作,可以提高护理人员的准备.
- 可能需要额外的,更具体的策略来改善FCG在护理过渡期间的沟通实践.
相关概念视频
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.1K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.1K
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.6K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.6K
Role of Communication in the Nursing Process II: Planning and Implementation
1.7K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.7K
Types of Reports I: Hands-off Report
851
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
851
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K


