在儿科炎症性肠病中增加医生对口术的感知舒适度:一个跨专业的质量改进项目
Jennie G David1,2, Hannah McKillop1,2, Meghan Fisher1
1Nationwide Children's Hospital Columbus Ohio USA.
医生在使用新的跨专业工具后,在儿科炎性肠病 (IBD) 中讨论骨髓手术的舒适性增加. 这项质量改善倡议旨在减少耻辱和改善患者护理讨论.
科学领域:
- 儿科胃肠道学和外科手术
- 改善医疗保健的质量.
- 以患者为中心的沟通.
背景情况:
- 儿科炎症性肠病 (IBD) 管理涉及复杂的决策,包括口腔外科手术,这带来了重大的社会耻辱.
- 医生讨论 ostomies 的不适可能会对医疗决策和患者沟通产生负面影响.
- 解决口腔护理的心理社会方面对于改善儿科IBD患者的生活质量至关重要.
研究的目的:
- 开发和实施跨专业工具,以提高医生的舒适性,与儿科IBD患者讨论骨干手术.
- 为了评估这些工具对医生感知舒适度的影响,关于 ostomy 讨论.
- 为了促进在儿科IBD环境中关于口腔护理的更开放,非耻辱化的对话.
主要方法:
- 一个多学科团队为医生创建了教育资源和讨论辅助工具.
- 进行了两个计划-做-研究-行动 (PDSA) 周期,涉及IBD治疗医生和GI医学研究员.
- 在干预之前和之后,跟踪了医生对 Ostomy 讨论的感知舒适度.
主要成果:
- 对于治疗IBD的医生来说,平均舒适度从68.8%增加到83.3%.
- 对于GI医学研究员来说,平均舒适度从41.4%增加到62%.
- 跨专业工具证明对医生在讨论 ostomies 的信心产生了积极的影响.
结论:
- 专业间的教育和资源可以有效地提高医生在讨论小儿IBD的骨干手术时的舒适度.
- 提高医生舒适度对于促进敏感和心理社会上明智的关于骨架护理的讨论至关重要.
- 这项质量改进项目突出了成功的战略,以应对儿科口腔护理中的沟通挑战.
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