中国成年人的息护理的共享护理管理标准:德尔菲研究
Junchen Guo1,2, Linghao Zeng3, Yunyun Dai4
1Department of Palliative Care, Hunan Cancer Hospital, Changsha, China.
Asia-Pacific journal of oncology nursing
|May 20, 2025
概括
这项研究开发了中国息护理的共享护理管理 (SCM) 标准. 新标准确保全国成年患者获得一致和有效的SCM服务.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
- 临床标准 临床标准
背景情况:
- 息治疗中的共享护理管理 (SCM) 是一种合作方式,涉及多学科团队和原始医疗保健提供者.
- 关于SCM实施的现有证据是分散的,阻碍了广泛的临床应用.
- 在息治疗中需要标准化的SCM协议,特别是在中国大陆等地区.
研究的目的:
- 制定一个全面和标准化的框架,用于成人息护理的共享护理管理.
- 解决证据的碎片化问题,并为中国大陆的SCM实施提供明确的指导方针.
- 通过标准化的SCM模型,提高息护理服务的质量和一致性.
主要方法:
- 进行了文献审查,以确定SCM标准的初始框架.
- 在2024年4月至8月期间,使用了两轮德尔菲方法来完善标准.
- 对于平均重要性得分>3.50和变化系数<0.25.5的项目,达成共识.
主要成果:
- 35名专家参加了第一轮,33名专家参加了第二轮,取得了显著的共识 (肯德尔的W = 0.128,P < 0.001;肯德尔的W = 0.134,P < 0.001).
- 在第二轮结束时,所有项目都获得了高平均重要性得分 (4.73-5.00).
- 确定了一个由8个模块和22个项目组成的最终标准,涵盖SCM团队,人口,流程,内容,时间,预防措施,评估和质量控制.
结论:
- 开发的SCM标准为中国大陆的医疗机构提供了关键的框架.
- 该标准的采用将促进SCM服务的统一和有效交付.
- 该倡议旨在通过标准化的协作管理来提高息护理的质量.
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