"从右脚开始":一种算法方法,以促进改善ICU入院流程
Biana Shnayder1, Mor R Levi, Paz Kelmer
1Author Affiliations: Department of Neurosurgery, Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel (Ms Shnayder, Ms Levi, Dr Kelmer, Prof Cohen, Dr Ungar).
Critical care nursing quarterly
|May 27, 2025
概括
改善了重症监护室 (ICU) 的入院,一种新的以家庭为中心的方法显著提高了患者的爱人满意度,从51.5%提高到81.6%. 这项质量改进计划通过沟通和同理心,增强了重症监护体验.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者在重症监护中的经验
- 家庭为中心的护理模式
背景情况:
- 患者入住重症监护室 (ICU) 的过程对整体医疗保健体验产生重大影响.
- 现有的入院协议可能无法充分解决患者家属的需求和担忧.
- 加强ICU入院流程对于提高患者和家庭满意度至关重要.
研究的目的:
- 开发和实施一个简化,以家庭为中心的方法,以改善患者入住ICU的过程.
- 评估这项倡议对患者亲属在ICU入院期间的满意度的影响.
- 以SQUIRE指南为指导的质量改善干预措施的有效性进行评估.
主要方法:
- 实施一个三个阶段的部门倡议:数据收集/问题识别,设计/实施和定期评估.
- 遵守SQUIRE (质量改进报告卓越性标准) 报告质量改进的指导方针.
- 对患者亲属干预前后满意度的比较分析.
主要成果:
- 在ICU入院后,患者亲属的满意度显著增加.
- 平均满意度从干预前的51.5%增加到干预后的81.6% (p < .001).
- 该倡议表明,重症监护体验得到了可衡量的改善.
结论:
- 以家庭为中心的模式,强调沟通,同情和协作,有效地提高了ICU入院过程.
- 这种方法显著提高了患者的亲人在重症监护期间的满意度.
- 倡导采用类似的以患者为中心的策略,以培养富有同情心的医疗环境.
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