通过以团队为基础的护理方法建立护理的连续性:实施挑战
Swetha S Kumar1, Chirk Jenn Ng1,2, Prawira Oka1,3
1SingHealth Polyclinics, Singapore, Singapore.
Journal of primary care & community health
|August 29, 2025
概括
实施以团队为基础的护理模式在提供护理连续性方面面临挑战. 信息技术问题和人力配置等系统性障碍阻碍了医疗保健在初级保健中的成功整合.
科学领域:
- 医疗保健管理
- 主要护理研究
- 基于团队的护理模式
背景情况:
- 医疗连续性 (CoC) 提高了患者与医生的关系和健康结果.
- 基于团队的CoC交付所面临的挑战尚未得到充分探索.
- 这项研究确定了基于团队的新护理模式的实施障碍.
研究的目的:
- 在以团队为基础的护理模式中确定CoC的实施挑战.
- 探索将CoC纳入现有临床途径的障碍.
- 在团队环境中成功提供CoC的策略.
主要方法:
- 使用半结构面试进行定性研究.
- 采访了39名医疗保健提供者和7名患者.
- 在NVivo中进行的转录采访的专题分析.
主要成果:
- 患者和医疗服务提供者重视COC,但面临实施困难.
- 主要障碍包括人力短缺,团队角色不清楚以及信息获取问题.
- 患者很难理解"一个病人,一个团队"的概念.
结论:
- 基于团队的护理得到了很好的接受,但系统性障碍阻碍了CoC.
- 解决IT系统和人力资源对于嵌入CoC至关重要.
- 建议侧重于优化新加坡初级保健中的基于团队的治疗.
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