儿科急性护理心脏病学中的"开放笔记":护理人员和提供者在单一中心的经验
Megan Rodts1,2, Dana B Gal3,4, Brittney K Hills5
1Cincinnati Children's Hospital Medical Center, The Heart Institute, Cincinnati, OH.
Journal of pediatrics. Clinical practice
|June 16, 2025
概括
患有先天性心脏病的儿童的护理人员在住院期间报告了积极的经历,并公开了住院期间的笔记. 然而,心脏病提供者对负面观点持中立态度,建议往往与法规相冲突.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- 共享医疗笔记或"开放笔记"在医疗保健中越来越多地使用.
- 了解它们在儿科心脏病学中的利用和影响至关重要.
研究的目的:
- 评估先天性心脏病患者的护理人员在住院期间使用开放笔记的情况.
- 评价护理人员和心脏病提供者的经验,用开放的笔记.
主要方法:
- 一项单一中心的横截面研究调查了儿童急性护理心脏病科的45名护理人员和21名心脏病提供者.
- 调查涵盖人口统计,健康素养和经验与开放的笔记.
- 使用了描述性统计数据.
主要成果:
- 大多数护理人员都知道并使用了开放笔记,报告了积极的经验 (85%).
- 心脏病提供者的经验大多是中性的或负面的 (65%).
- 由于监管约束 (第21世纪疗法法案) 的原因,提供者改善开放注释的建议往往是不可行的.
结论:
- 开放笔记为儿童住院心脏病学中护理人员参与提供了宝贵的工具.
- 心脏病提供者可能会受益于有关开放说明和相关立法的教育.
- 在遵守法规的同时解决供应商的担忧是成功实施开放说明的关键.
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