慢性护理管理计划的关键组成部分:护理管理人员实践的定性描述
Shigeko Izumi1, Laura Mood2, Lace Velk3
1Oregon Health & Science University, School of Nursing, 3455 SW US Veterans Hospital Rd., SN-ORD, Portland, OR, 97239-2941, USA. izumis@ohsu.edu.
BMC health services research
|November 22, 2025
概括
有效的慢性护理管理需要以患者为中心的方法. 这项研究确定了五个关键组成部分:全人评估,以患者为中心的护理规划,直接的患者护理,护理协调和纵向监测以获得更好的结果.
科学领域:
- 医疗保健管理的管理
- 慢性疾病管理 慢性疾病管理
- 定性研究是指质量研究.
背景情况:
- 医疗保健系统往往无法满足慢性病患者的需求,导致结果差,成本高.
- 需要有效,可扩展和可持续的慢性护理管理模型.
- 这项研究旨在定义慢性护理管理实践的基本组成部分.
研究的目的:
- 识别和描述慢性护理管理实践的关键组成部分.
- 为开发有效的慢性护理计划提供基础.
- 解决关于实际慢性护理管理的文献上的差距.
主要方法:
- 质量描述性研究,涉及采访11名护理经理.
- 从美国西北太平洋地区的三家医疗机构有目的地采样样本.
- 对2022年7月至12月期间进行的转录的半结构面试进行主题分析.
主要成果:
- 护理经理的实践是由个体患者的需要和情况驱动的,而不仅仅是诊断.
- 确定了慢性护理管理的五个核心组成部分:全人评估,以患者为中心的护理规划,直接护理,护理协调和纵向评估/监测.
结论:
- 这些已识别的组件为设计有效的慢性护理管理计划提供了实际框架.
- 整合这些组成部分对于提供高质量,可持续的慢性护理至关重要.
- 进一步的研究应侧重于在现实环境中实施和评估这些组件.
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