对抗性但重要 - - 对MUTUAL (跨学科及时进行的预先护理规划) 干预措施的混合方法评估
Eline Vtj van Lummel1, Emma Pe Maats1, Elena P Kenswil2
1Department of Intensive Care, Gelderse Vallei Hospital, Ede, Netherlands; Department of Bioethics and Health Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
多学科及时进行的预先护理规划 (MUTUAL) 干预措施受到患者和医疗保健专业人员的欢迎,促进了开放的对话和反思. 这种预先护理计划 (ACP) 的结构化方法支持患者在整个疾病过程中.
科学领域:
- 医疗保健干预措施 医疗保健干预措施
- 以患者为中心的护理
- 临床传播 临床沟通
背景情况:
- 多学科及时进行的预先护理规划 (MUTUAL) 干预旨在在门诊机构启动结构化预先护理规划 (ACP).
- 本研究评估了利益相关者在实施后对MUTUAL干预的经验.
研究的目的:
- 探索利益相关者 (患者,护士,医生) 对MUTUAL干预的评价.
- 评估结构化ACP对话的感知价值和影响.
主要方法:
- 在七个荷兰门诊中进行了一项连续的解释性混合方法研究.
- 从调查问卷 (n=216次对话) 收集了定量数据,并从采访中收集了定性数据.
- 利益相关者包括参与ACP对话的患者,护士和医生.
主要成果:
- 患者 (8.6/10),护士 (7.8/10) 和医生 (8.3/10) 在ACP对话中报告的高满意度.
- 评估了80.1%的对话,所有利益相关者都将其评为有价值的 (4.6-4.8/5).
- 关键主题包括多样化的患者旅程,利益相关者对价值的不同观点,以及在促进开放对话方面投入时间和信任的重要性.
结论:
- 相互干预得到了积极的接待,促进了反思和放心,超越了立即的治疗决定.
- 调查结果支持一种可适应的,多利益相关者ACP方法,以医疗保健专业人员为指导合作伙伴.
- 这种干预措施有助于在慢性疾病进展过程中进行持续的对话和患者支持.
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