在VA协调过渡护理 (CTraC) 计划中的护士的观点:一个定性研究
Claire E Donnelly1,2, Nicholas A Rattray1,2,3,4, Mindy E Flanagan1
1Department of Veterans Affairs (VA) Health Systems Research (HSR) Expanding Expertise Through E-Health Network Development (EXTEND) Quality Enhancement Research Initiative (QUERI), Indianapolis, Indiana, USA.
Journal of the American Geriatrics Society
|September 30, 2025
概括
协调过渡期护理 (CTraC) 计划有效地支持老年退伍军人从医院到家过渡. 加强数据支持和资源是维持这种由护士驱动的干预和改善患者结果的关键.
科学领域:
- 老年医疗护理 医疗护理
- 医疗保健服务研究 医疗服务研究
- 护理干预 护理干预
背景情况:
- 协调过渡期护理 (CTraC) 计划是基于证据的,由护士驱动的干预,旨在改善住院后老年患者的护理.
- CTraC的目标是减少退伍军人再接收并改善老年退伍军人的结果,特别是那些患有慢性疾病或护理人员支持有限的人.
研究的目的:
- 评估各种VA医院设置中CTraC计划的运营方面.
- 识别影响计划成功的关键过渡过程和上下文因素.
- 收集经验教训,以便在整个系统中部署CTraC.
主要方法:
- 在11家VA医院的CTraC护士进行了半结构面试.
- 定性数据分析探讨了程序设置,协议遵守,数据跟踪,挑战,成功和再接收减少策略.
- 使用快速定性分析方法开发了比较矩阵.
主要成果:
- CTraC护士作为主要的接触点,解决患者的担忧和主动解决问题.
- 关于CTraC在弥合过渡期护理差距和影响实施的组织因素方面的作用,出现了五个关键主题.
- 护士发现并解决了与药物,预约,家庭安全和忽视的临床任务有关的问题.
- 他们注意到数据跟踪,系统集成和领导沟通方面的差异.
- 可持续性挑战与领导层的意识和需要更好的数据基础设施来证明计划的有效性有关.
结论:
- 持续的适应和反对于扩大CTraC的影响和确保其长期可持续性至关重要.
- 加强数据反机制和劳动力资源可以支持CTraC以患者为中心的方法,为退伍军人提供过渡期护理.
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