护理人员报告的障碍物和预测者在儿童面团队护理中出席预约
Katherine Dillon1, Magdaline Kotsakis1, Colin Brady1
1Center for Craniofacial Disorders, Children's Healthcare of Atlanta, Atlanta, GA, USA.
概括
护理人员报告的后勤挑战,而不是人口统计数据,显著影响儿科面治疗预约出席率. 解决护理协调障碍改善了儿童面状况的持续出席.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 头骨面部医学 头骨面部医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 出席预约对于有效管理儿科面状况至关重要.
- 识别出勤障碍对于优化患者护理和结果至关重要.
研究的目的:
- 为了确定护理人员报告的影响儿科面团队访问预约出席的障碍.
- 识别错过访问的人口,临床和后勤预测因素.
主要方法:
- 这是一项前性多方法研究,涉及213名护理人员,这些护理人员是参加面外科诊所的病人.
- 护理人员填写了关于出席因素的问卷;医疗记录提供了人口统计和临床数据.
- 统计分析包括描述性统计,奇平方/费舍尔精确测试和多变量后勤回归.
主要成果:
- 更高的医疗负担和同一天的多次预约与出席率的增加有关.
- 综合症诊断预测了更高的出席率,而首选的预约时间预测了更低的出席率.
- 种族,种族和保险状况等人口统计因素并没有显著预测出勤率.
结论:
- 后勤需求和护理协调比人口或临床因素更强有力的预测者.
- 针对可修改障碍的有针对性的支持可以改善对面护理的持续出席率.
- 干预措施应侧重于家庭管理复杂儿科护理所面临的实际挑战.
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