儿科护士对以患者和家庭为中心的轮次的看法:一种定性研究
Jennifer Baird1, Genevieve Beaird2, Elizabeth K Tanner3
1Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California, USA.
Journal of hospital medicine
|June 1, 2025
概括
护士发现以患者和家庭为中心的圆形化 (PFCR) 有益,改善了沟通和效率. 解决工作量和确保明确的角色是提高护士参与这些轮次的关键.
科学领域:
- 医疗保健沟通策略 医疗保健沟通策略
- 儿科患者安全倡议儿童患者安全倡议
- 在医院的专业间合作.
背景情况:
- 患者和家庭为中心的圆形化 (PFCR) 模型在儿科环境中很常见,改善了沟通和减少错误.
- 医生和家庭对PFCR挑战的看法得到了记录,但护士的观点被理解得更少.
研究的目的:
- 为了确定PFCR对护士的好处.
- 描述影响护士参与PFCR的障碍和促进因素.
主要方法:
- 使用焦点组数据的定性描述方法.
- 参与者包括来自21家参与PFC I-PASS SCORE研究的美国儿科医院的护士.
- 四个焦点小组由来自14个研究地点的29名护士组成.
主要成果:
- 识别的好处:加强沟通,节省时间,提高效率,并承认护理团队的贡献.
- 确定了障碍:高护士工作量,不一致的圆形忠诚度,以及对其他团队成员接受的不确定性.
- 识别的促进者:明确的护理角色,可预测的圆周时间表,医生支持和护士不可用时的应急计划.
结论:
- 护士认为PFC I-PASS轮有显著的优势.
- 护士在PFCR中的持续参与需要定制的实施策略,以解决护士投入的结构性和跨专业因素.
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