在一般医疗病房内嵌入息护理护士顾问:一项前性探索研究
Jianxia Zhai1, Christine Mooney2, Olivia Hamilton3
1School of Health & Biomedical Science, STEM College, RMIT University, Melbourne, Australia.
Journal of clinical nursing
|September 1, 2025
概括
在一般医疗团队中嵌入息护理护士顾问 (PCNC) 可以改善高风险患者的护理协调和终身支持. 解决员工信心和工作流程障碍是优化综合性息护理模式的关键.
科学领域:
- 老年病学
- 缓和护理
- 一般医学
- 医疗服务研究
背景情况:
- 患有高死亡风险的患者通常在通用医学病房接受治疗.
- 早期整合缓解护理可以改善患者的结果和生活质量.
- 需要进一步研究专业顾问在急性病例中增强息护理的作用.
研究的目的:
- 在整体医疗团队中整合息护理护士顾问 (PCNC) 时评估患者的结果.
- 探索患者和护理人员对PCNC影响的反.
- 了解医疗保健专业人员对整合息治疗的看法.
主要方法:
- 在一般医疗病房进行了六周的前性探索性研究.
- 包括20名患有慢性疾病和高死亡风险的65岁以上患者.
- 数据收集涉及患者结果的定量分析和工作人员和患者/护理人员反的定性主题分析.
主要成果:
- PCNC的干预措施改善了护理协调,家庭联系和及时转诊,解决了终身需求.
- 医疗保健专业人员承认PCNC的好处,但由于角色界限和信任问题,他们不愿启动息护理讨论.
- 尽管有改善的沟通和宣传,但PCNC整合的障碍包括时间限制和患者/家庭的抵抗.
结论:
- 在一般医学中嵌入PCNC可以加强护理协调,并促进息护理的整合.
- 解决发现的障碍和优化工作流程可以改善患者,护理人员和临床医生的体验.
- 这种模式有可能改善患者为中心的护理和临床医生的支持.
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