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共同设计解决方案,改善医院住院期间关于严重疾病的沟通

Isabelle Caven¹, Melissa Frew¹, Jennifer Hyc¹

¹University Health Network, Toronto, Ontario, Canada.

Health expectations : an international journal of public participation in health care and health policy

|November 27, 2025

概括

参与患者,护理人员和提供者共同设计的研讨会开发了改善严重疾病对话 (SIC) 的解决方案. 这些包括更好的指南,电子记录和促进者,以加强与患者价值观一致的护理.

科学领域:

改善医疗保健质量改善医疗保健质量
以患者为中心的护理
卫生沟通健康沟通

背景情况:

严重疾病对话 (SICs) 对于在生命限制条件下将护理与患者优先事项协调至关重要.
对SICs的障碍包括患者对医疗信息的理解和提供者在文件,培训和支持方面的挑战.
需要以患者为中心的干预措施来解决医院环境中的这些障碍.

研究的目的:

通过共同设计,通过严重疾病对话 (SICs) 改进文档和患者/护理人员和提供者的经验.
通过开发定制解决方案,解决严重疾病对话中的障碍.
提升与患者价值观和目标一致的护理.

主要方法:

一个质量改进项目的最后阶段涉及与患者,护理人员和医疗保健提供者共同设计研讨会.
在加拿大学术教学医院网络上,对一般内科病房进行了研讨会.
25名医疗服务提供者和13名患者/护理人员参加了由以人为中心的设计专家推动的三个研讨会.

主要成果:

共同设计研讨会产生了指导医院SIC解决方案开发的原则 (明确,富有同情心,知情,互惠).
解决方案包括修订的对话指南,电子医疗记录中的协作高级护理规划笔记,以及常规SIC的促进者角色.
患者,护理人员和提供者优先事项为实际解决方案的构想和改进提供了信息.

结论:

共同设计确定了关键解决方案:增强患者对话指南,提前护理规划笔记和护理方便者的目标.
这些资源解决了高质量的SIC的障碍,改善了患者和提供者的体验和结果.
患者和护理人员直接参与共同设计对于开发有效的SIC干预措施至关重要.

关键词:

共同设计共同设计患者体验患者体验经验提供商提供经验.严重疾病沟通严重疾病沟通严重的疾病谈话谈话

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