息治疗:转诊的障碍以及为什么风湿病学家 (尚未) 打电话
Jack Kimball1, Shannon Herndon2, Amanda M Eudy2
1Division of Geriatrics and Palliative Care, Department of Medicine, Duke University Health System, Durham, North Carolina.
Journal of pain and symptom management
|August 25, 2025
概括
由于不确定性和患者的误解,风湿病学家犹不决地将严重风湿病患者转移到息治疗 (PC). 息护理提供者对风湿性疾病缺乏足够的了解,这阻碍了整合和最佳的患者护理.
科学领域:
- 关节病学
- 缓和护理
- 医疗整合
背景情况:
- 严重的风湿病与高发病率和死亡率有关.
- 尽管有潜在的益处,但关护理 (PC) 在风湿病方面仍未得到充分利用.
- 有关关关节性疾病在类风湿病的整合障碍的知识缺口.
研究的目的:
- 鉴定严重类风湿病患者的息治疗转诊的提供者特定障碍.
- 了解风湿病学家和息护理提供者对转诊挑战的观点.
主要方法:
- 调查分发给美国的风湿病和息护理提供者.
- 通过电子邮件和专业会议收集数据.
- 统计分析包括描述性统计,费舍尔的精确测试和两个样本的t测试.
主要成果:
- 关键障碍是风湿病学家对转诊时间的不确定性 (50%),患者认为PC是"放弃" (49%),以及患者认为患者需要的需求很低 (40%).
- 息护理提供者认为缺乏有关风湿病预后 (66%),治疗方法 (61%) 和疾病进展 (53%) 的知识是主要障碍.
结论:
- 关节病学家需要更明确的指导方针来确定何时以及如何将患者转诊.
- 息护理提供者需要更好地了解类风湿性疾病,以有效管理这些患者.
- 解决这些障碍对于改善风湿病患者使用个人电脑至关重要.
相关概念视频
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Ethical Issues
1.2K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.2K
Continuing Care
1.6K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.6K
Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
SBAR II: Application of SBAR
4.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.7K
Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K


