衡量预先护理规划实施水平 - 一项基于忠实性的横截面研究
Siri Færden Westbye1, Maria Romøren1, Marc Ahmed2
1Centre for Medical Ethics, Institute for Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Frontiers in health services
|November 14, 2025
概括
在挪威老年医院中,提前护理计划 (ACP) 的实施非常低. 一个新的忠实度表显示了提高非洲和非洲国家和地区 (ACP) 质量的潜力,但需要进一步验证才能在医疗保健环境中可靠使用.
科学领域:
- 老年医学 老年医学
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预先护理规划 (ACP) 是至关重要的,但在医疗保健机构中经常实施不良.
- 现有的证据和指导方针支持ACP,但实际应用仍然是一个挑战.
- 本研究探讨了需要工具来衡量ACP实施的忠实性.
研究的目的:
- 提出一种新的忠实度表,旨在衡量预先护理计划 (ACP) 的实施情况.
- 报告在挪威老年医院单位的基线上对ACP忠实度表的初步测试.
- 评估在急性老年医疗护理中ACP实施的现状.
主要方法:
- 在挪威的12个老年医院单位进行了一项横截面研究.
- 一个新开发的ACP忠实度表,有三个子度表 (实施,质量,透率) 用于基线测量.
- 数据使用描述性统计,克伦巴赫α和评分器间可靠性 (ICC) 来分析数据.
主要成果:
- 在所有分尺度中观察到非常低的实施分数,表明对建议的非洲和非洲国家和地区实践的遵守是最小的.
- 质量分级显示可接受的内部一致性 (克朗巴赫的α=0.887).
- 尽管得分差异很小,但在所有子尺度中发现了高interrater可靠性 (ICC>0.9).
结论:
- 调查结果显示,在挪威的急性老年医院环境中,ACP的实施率极低.
- 开发的非洲,南非和东非 (ACP) 忠实度表表明,对评估和改善非洲,南非和东非 (ACP) 老年护理的质量是有前途的.
- 在广泛临床使用之前,需要进一步验证尺度的心理测量特性.
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