北克的老年人在急诊室和社区护理之间过渡:一个案例研究
Marlène Karam1, Catherine Hudon2, Maud-Christine Chouinard3
1Faculty of Nursing. Université de Montréal. Building Marguerite-d'Youville. 2375, chemin de la Côte Sainte-Catherine. Room 5087, Montréal, QC, H3T 1A8, Canada.
护士面临的挑战是协调照顾从医院到家庭的老年人. 加强初级保健对于安全的社区老龄化和减少以医院为中心的方法至关重要.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 老年人护理 医疗老年人护理
背景情况:
- 人口老龄化带来了复杂的医疗保健需求.
- 有效的护理协调对于安全的患者过渡至关重要.
- 医院为中心的模式往往忽视了初级保健需求.
研究的目的:
- 检查紧急和初级保健团队之间的护理协调.
- 调查护士在确保老年人安全过渡时所面临的挑战.
- 关注护士在跨学科护理中的作用.
主要方法:
- 在北克综合卫生和社会服务中心进行的案例研究.
- 使用文档分析和半结构面试.
- 涉及15名医疗保健专业人员,并以过渡期护理模式为指导.
主要成果:
- 确定挑战:建立信任,平衡患者的愿望与安全,护士培训不足.
- 突出问题:护理层之间的沟通不良,初级保健资源短缺.
- 揭示了在过渡期改善护士角色的需要.
结论:
- 迫切需要从医院中心转向强大的初级保健.
- 加强初级保健使老年人能够在社区中安全地老龄化.
- 加强护士培训和专业间合作是必不可少的.
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