通过跨专业合作框架,确定当前的实践和改善护理过渡期间药物管理的领域
Léa Solh Dost1,2,3, Gaëlle Maillard1,2, Evelina Cardoso1,2
1School of Pharmaceutical Sciences, University of Geneva, Genève, Switzerland.
Journal of multidisciplinary healthcare
|August 5, 2025
概括
改善医院出院期间的专业间合作对于患者安全至关重要. 需要提高沟通,角色明确性和领导力,以优化药物管理和出院后的患者结果.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 专业间教育 专业间教育
背景情况:
- 糟糕的护理过渡协调导致医疗错误和再入院.
- 医院出院到第一次预约阶段对患者来说是高风险的.
- 跨专业的合作是提高护理质量的关键,但未被充分探索.
研究的目的:
- 检查医院出院期间的专业间药物管理.
- 为了确定当前的做法和在这个过渡时期需要改进的领域.
- 专注于患者在出院后自我管理药物.
主要方法:
- 使用连续焦点小组与患者和医疗保健专业人员进行定性研究.
- 转录讨论的有目的抽样和诱导性主题分析.
- 使用加拿大国家跨专业能力 (CIHC) 框架和分类问卷对发现进行分类.
主要成果:
- 确定了CIHC能力领域的优缺点:沟通,患者伙伴关系,角色澄清,团队运作和协作领导力.
- 专业间沟通和患者伙伴关系存在,但需要改进.
- 角色澄清和协作领导是重大挑战,影响了效率和协调.
结论:
- 现有的实践强调沟通和患者参与,但角色清晰和领导力需要发展.
- 医疗保健专业人员愿意合作,但需要系统支持.
- 政策和协调努力对于可持续的跨专业模式至关重要,以提高药物护理和患者的结果.
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