概括
在瘤学中,基于价值的护理 (VBC) 往往忽视了患者的目标. 瘤护士可以将患者的价值观与护理交付相结合,以弥合这一差距,在VBC框架内确保以患者为中心的结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 卫生政策 卫生政策
背景情况:
- 瘤护理正在向以价值为基础的护理 (VBC) 模式过渡,以效率,结果和成本为重点.
- 将以患者为中心的护理原则集成到VBC系统中,带来了重大运营挑战.
研究的目的:
- 在主要瘤学利益相关者中探索VBC和以患者为中心的护理之间的内在紧张关系.
- 突出瘤护士在弥合差距的关键作用,通过将患者价值观纳入护理.
主要方法:
- 对政策发展和瘤学特定的VBC框架进行了叙述性审查.
- 分析了利益相关者的优先事项和价值,质量和成本的定义.
- 在临床工作流程,框架限制和支付模式的背景下,检查了护士角色.
主要成果:
- 在标准化实践和控制成本的同时,VBC框架经常忽视患者定义的目标和治疗权衡.
- 瘤护士具有独特的地位,可以通过引发,整合和倡导患者价值观来捍卫患者价值观.
- 护士可以通过与付款者和政策制定者的接触来影响质量指标和VBC模型.
结论:
- 瘤护士对于确保VBC模型通过将患者价值观纳入护理来保持以患者为中心至关重要.
- 有效的整合需要护士在临床工作流程和政策讨论中引出,翻译和倡导患者价值观.
- 将质量措施与患者定义的目标结合起来,对于在瘤学中成功实施VBC至关重要.
相关概念视频
Nursing Ethical Principles II
2.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.0K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Patient-centered Care
2.8K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.8K
Professional Values
9.6K
Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
9.6K
Ethical Standards I
1.4K
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
1.4K
Ethical Dilemmas I
1.8K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.8K

