在息和终身护理中优化数字预先护理计划的实施:一个多阶段混合方法的国家研究计划和建议
Matthew J Allsop1, Jacqueline Birtwistle2, Michael I Bennett2
1Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. m.j.allsop@leeds.ac.uk.
BMC medicine
|May 20, 2025
概括
数字预先护理计划 (DACP) 系统显示患者参与度低,并且无法满足需求. 建议侧重于最终用户体验和系统改进,以更好地实施终身护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 抚慰性护理是一种缓解性护理.
背景情况:
- 数字预先护理规划 (DACP) 支持记录和共享临终病患者的护理偏好.
- 当前的DACP系统面临的参与度很低,偏好往往是迟迟记录或根本没有记录.
- 最佳护理研究计划调查了DACP系统的使用,以改善实施和评估.
研究的目的:
- 从不同利益相关者的角度了解数字预先护理计划 (DACP) 系统的实施.
- 确定DACP采用,放弃,扩大,传播和可持续性的障碍和促进者.
- 在日常护理中生成基于证据的建议,以优化DACP.
主要方法:
- 一种混合方法的方法,包括全国调查,半结构面试,重点小组和研讨会.
- 从788个利益相关方收集数据,包括患者,护理人员,卫生专业人员和调试领导.
- 使用DACP实现的概念模型和NASS框架进行分析.
主要成果:
- 制定了20条基于证据的建议,以指导DACP在五个关键阶段的实施.
- 关键考虑因素包括系统设计,临床需求识别,文档,专业参与和评估.
- 建议强调最终用户的需求和交叉设置信息交换的必要性.
结论:
- 现有的DACP系统表现不佳,无法满足患者,护理人员或专业人员的需求.
- 实施建议需要考虑更广泛的生态系统,并优先考虑最终用户的体验.
- 未来的研究应该专注于加强卫生专业人员的参与和患者/护理人员对DACP系统的访问.
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