护士和患者对跨卫生保健和社会服务部门的护理协调的看法:一种定性研究
Marlène Karam1, Maud-Christine Chouinard1, Meghry Kevork1
1Faculty of Nursing, Université de Montréal, Montréal, Canada.
概括
护士护理协调员面临的挑战,尽管综合护理的努力. 老年人希望得到更多的支持和沟通,突出系统性问题和改善医疗护理导航的需要,以满足复杂的患者需求.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 综合护理系统 综合护理系统
背景情况:
- 护士护理协调员为具有复杂需求的患者提供组织间的联系.
- 挑战包括不充分的支持,与任务相关的困难以及组织/系统因素.
研究的目的:
- 为了评估北克省的一项护理协调计划.
- 收集医疗保健提供者和受益者的观点.
主要方法:
- 使用基于经验的共同设计方法进行定性研究.
- 与护士护理协调员,老年人和非正式护理人员进行了19次半结构化采访.
- 使用了Valentijn等人创建的框架. 对于采访和分析数据,以演和归纳的方式进行分析.
主要成果:
- 确定了影响护理协调的关键因素:需求的复杂性,以患者为中心的护理,信任,专业间合作,沟通工具,角色明确性,共同价值观,机构合并和政府指导方针.
- 年长的成年人报告说,他们需要护理协调员的更多存在和更好的沟通.
结论:
- 综合护理目标显示有效实施,但仍存在差距.
- 患者需求的增加和护理人员短缺会影响护理协调的有效性.
- 该研究为提供者,管理者和决策者提供了改善综合医疗保健系统的系统性见解.
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