护理建议,以改善出院和从床边的护理过渡
Eve Emmanouilidou1, Dhwani Krishnan1, Elizabeth Kaplan1
1The Healthcare Improvement & Innovation in Quality (THINQ) Collaborative.
Journal of patient safety
|July 2, 2025
概括
床边护士发现了出院计划中的关键障碍,例如沟通不良和患者准备不足. 护士驱动的解决方案侧重于结构化沟通和增强教育,以提高患者的安全性和护理过渡.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 出院规划对于护理连续性和防止再入院至关重要.
- 床边护士提供关于出院障碍和患者安全的重要见解.
- 本研究涉及出院规划方面的挑战,并确定护士主导的解决方案.
研究的目的:
- 确定医院出院规划中的共同挑战.
- 突出护士驱动的解决方案,以改善护理过渡期间的患者安全.
主要方法:
- 对远程测量,心脏观察和短期住院单位的护士进行了横截面调查.
- 该调查以"IDEAL免费计划手册"为指导,评估了障碍和建议的解决方案.
- 收集了来自高等学术教学医院的108名护士的匿名回复.
主要成果:
- 重要的障碍包括专业间沟通失败,护理协调差距和药物调和问题.
- 护士报告说,患者准备不够准备出院是一个主要的挑战.
- 提出的解决方案包括结构化沟通协议,改善出院教育和优化药物调和.
结论:
- 床边护士认为安全出院存在系统和运营障碍.
- 根据前线工作人员的见解实施基于证据的干预措施可以提高患者的治疗结果.
- 有针对性的改进可以减少伤害,并改善患者和家人的出院体验.
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