创建连接:通过质量改进,为护理院的组织生存提供新的转诊途径
Helen Ramsay1, Samantha Galbraith2, Jennifer Newman3
1Lead Nurse Tissue Viability, NHS Lothian, UK.
British journal of community nursing
|August 27, 2025
概括
一个新的组织活力护理转介途径增加了转介和减少了地区护理访问. 这项质量改善倡议改善了老年人的伤口护理,解决了长期护理的未满足需求.
科学领域:
- 改善医疗保健的质量
- 社区护理
- 老年人的伤口护理
背景情况:
- 慢性伤害是养老院中老年人的重要问题,
- 这项研究侧重于NHS Lothian在护理院实施的一种新的组织活力护理转诊途径.
研究的目的:
- 提高护理家庭护士获得专业组织活力护理建议的机会.
- 通过结构化的转诊程序,改善长期护理机构的慢性伤口管理.
主要方法:
- 使用改进模型和计划-做-研究-行动周期进行开发.
- 实施了安全的电子诊所推流程,包括培训,标准化设备和数据追踪器.
- 建立了符合治理的流程,包括安全的电子邮件,封闭式摄像头和结构化的指导.
主要成果:
- 每年从养老院转诊的人数从不到150人增加到约280人.
- 转诊主要涉及压力和静脉腿,与已知的伤口负担保持一致.
- 在第一年可能减少262次地区护士访问; 报告说工作人员的信心和居民的结果有所改善.
结论:
- 协作质量提升有助于社区伤口护理和卫生/社会护理整合.
- 这条路径优化了专业护理资源,并为劳动力压力提供了可扩展的解决方案.
- 由于人口老龄化和复杂的伤口,护理院越来越需要组织活力专业知识.
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