改善患者报告的临床治疗需要的住院患者的体验:一项前后质量改善研究
Claudia Virdun1,2,3, Lee Jones4,5,6, Gursharan K Singh7
1Flinders Research Centre for Palliative Care, Death, and Dying, College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park , 5042, SA, Australia. claudia.virdun@flinders.edu.au.
BMC palliative care
|October 7, 2025
概括
实施"倾听,赋权和行动" (LEAP) 包,改善了严重疾病患者的息护理体验. 患者报告经验测量 (PREM) 和临床医师赋权是提高医院护理质量的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 抚慰性护理研究研究
- 患者体验测量测量方法
背景情况:
- 优化对晚期严重疾病的医院护理是全球优先事项.
- 患者报告的体验测量 (PREMs) 可以为质量改进提供信息.
- 卫生服务研究实施的综合促进行动 (i-PARIHS) 框架指导了这项研究.
研究的目的:
- 实施和评估使用PREM和促进改善息护理质量的复杂干预措施.
- 赋予病房团队的权力,为患有晚期严重疾病的住院患者带来改善.
主要方法:
- 使用"LEAP"捆绑干预的单个网站前后质量改进研究.
- 干预阶段:"倾听" (收集PREMs/观点),"授权" (反和利益相关者参与),"行动" (临床医生领导的创新).
- 混合二元逻辑回归分析了使用consideRATE工具对"非常好"患者体验的变化.
主要成果:
- 落实LEAP捆绑计划,在三个病区进行了调整.
- 对于大多数consideRATE问题,观察到"非常好"患者体验的统计学上显著增加.
- 通过第一个测量期,人们注意到了改善,并且在大多数问题上保持了改善.
结论:
- LEAP包有效地改善了医院环境中的息护理体验.
- 患者反和授权的临床团队,在熟练的促进的支持下,对于成功至关重要.
- 进一步的研究应该测试干预的可持续性,可转移性和可扩展性.
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