共同制作个性化出院规划:开发一个工具包,以改善护理人员参与医院过渡
Kathryn McEwan1, Tom Sanders1, Sue Carr1
1School of Communities and Education, University of Northumbria at Newcastle, Newcastle Upon Tyne, UK.
概括
一个共同设计的工具包增强了非正式护理人员的医院出院计划,提高了准备和减少了痛苦. 这种个性化的方法通过有意义的对话和及时的信息支持护理人员,加强过渡期护理.
科学领域:
- 医疗保健研究的研究.
- 患者和护理人员的支持.
- 实施科学 实施科学
背景情况:
- 非正式的护理人员对于从医院到家庭的过渡至关重要,但经常被排除在出院计划之外.
- 这种排除导致未准备的护理人员,潜在的并发症和患者的痛苦.
- 一个共同设计的工具包被开发出来,以促进医院工作人员和非正式护理人员之间的沟通.
研究的目的:
- 与非正式的照顾者和医疗保健专业人员共同设计一个个性化的出院计划工具包.
- 改善护理人员在患者从医院到家的过渡期间的准备和支持.
- 为弥补非正式照顾者的解雇计划中的差距.
主要方法:
- 参与行动研究 (PAR) 方法与四个共同设计研讨会.
- 涉及22个利益相关者:非正式的护理人员,医疗保健专业人员和志愿部门代表.
- 以规范化过程理论,I-STEM和过渡理论为指导;使用反射主题分析和协作合成分析数据.
主要成果:
- 利益相关者认为,需要一个简单的,基于对话的工具,帮助护理人员表达需求并获得信心.
- 该工具包包括五种联合制作的工具,用于个性化,包括护理人员在内的出院计划.
- 关键原则强调尊重对话,一个命名的联系人,和明确的解雇后支持,尽管基础设施的变化造成实施障碍.
结论:
- 一个共同设计的工具包可以改善过渡期护理和护理人员的准备.
- 成功融入实践需要组织支持,数字化准备以及关注公平.
- 这项研究强调了让患者和护理人员参与开发医疗干预措施的价值.
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