医生中未完成的护理:一个探索性的专题分析
Simon Dello1, Ken De Smet2, Walter Sermeus3
1Department of Public Health and Primary Care, KU Leuven, Leuven Institute for Healthcare Policy, Leuven, Belgium simon.dello@uzleuven.be.
BMJ open quality
|November 20, 2025
概括
由于时间限制和竞争的要求,医生经常会放弃护理,这会影响患者的安全并造成道德困扰. 解决这个问题需要量身定制的组织和跨学科战略.
科学领域:
- 医疗实践和医疗保健提供
- 医生的福祉和患者安全.
- 定性研究方法 定性研究方法
背景情况:
- 关于医生未完成护理的经验的研究有限,与对护士的广泛研究形成鲜明对比.
- 了解医生的观点对于改善医疗保健质量和患者安全至关重要.
研究的目的:
- 探索医生对未完成护理的概念化,经验和管理.
- 确定导致在医院环境中未完成护理的因素和后果.
主要方法:
- 有关12名医生半结构面试的定性研究.
- 以遗漏护理现有文献为指导的专题分析,允许新兴的见解.
主要成果:
- 医生们承认"未完成的护理"是例行公事,由时间短缺和竞争需求驱动.
- 遗漏经常涉及行政任务,心理社会支持和沟通,不优先考虑诊断/治疗行动.
- 后果包括受损的患者安全,受损的护理连续性,道德困扰和倦怠,在组织,人际关系和患者层面提出解决方案.
结论:
- 未完成的护理是急性护理医生的一个重要,未被充分研究的问题.
- 干预措施必须对专业敏感,考虑到医生的角色,自主性和身份.
- 质量改进计划需要医生参与共同设计与环境相关的解决方案.
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