实施护理合作伙伴计划的障碍和促进者,为患有持续严重疾病的成人患者提供护理合作伙伴计划
Laura Istanboulian1, Anthony J Gilding2, Lorrie Hamilton3
1Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada; Michael Garron Hospital, Toronto, Canada.
概括
在重症监护中实施护理合作伙伴计划需要解决家庭参与的多层次障碍和促进者的问题. 本研究从患者,家庭护理人员和医疗保健提供者的角度确定了改善护理的关键因素.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
背景情况:
- 家庭参与对于重症监护机构的患者福祉至关重要,特别是对于持久性重症患者来说.
- 具有正式结构的护理合作伙伴计划旨在加强患者,家庭护理人员和医疗保健提供者 (HCP) 之间的合作.
- 在重症监护中实施此类计划需要在早期了解障碍物和促进者.
研究的目的:
- 确定在成人持久性重症病护理中实施护理合作伙伴计划的障碍和促进者.
- 收集来自成年患者,家庭护理人员和多专业医疗人员的观点.
主要方法:
- 加拿大城市学术医院使用的定性描述方法.
- 与患者,家庭护理人员和医疗保健工作者进行了30次半结构面试 (2023年6月 - 2024年2月).
- 内容分析和社会生态模型用于数据分析.
主要成果:
- 在社会生态模型的各个层面上,确定了患者,家庭护理人员和医疗保健工作者报告的障碍和促进者.
- 突出需要访问政策,支持性劳动力政策和家庭护理人员的心理健康服务.
- 推机构支持 (指导,休息空间),人际关系策略 (欢迎环境) 和人际关系支持 (重视经验知识).
结论:
- 多层次的障碍和促进者对于设计和实施干预措施至关重要.
- 解决结构性障碍可以显著改善家庭在重症监护机构的参与.
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