减少儿童医院的冲突和紧张局势:多式联络干预后的服务前后评估
Rachel Amos1, Katy Wood1, Samuel Bunn1
1Great North Children's Hospital, Newcastle upon Tyne, UK.
Archives of disease in childhood
|December 9, 2025
概括
英国一家儿童医院的多模式干预措施减少了医护人员和家人之间所报道的紧张关系. 保护方面的担忧显著减少,改善了患者和工作人员的医院环境.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床伦理学 临床伦理学
背景情况:
- 医院环境可以在医疗保健专业人员,患者和家人之间经历重大冲突和紧张局势.
- 解决这些紧张局势对于患者安全,员工福祉和整体护理质量至关重要.
研究的目的:
- 评估多式联络干预对医疗保健专业人员报告的英国儿童医院内冲突和紧张局势的影响.
- 测量干预实施前后紧张局势的普遍性和性质的变化.
主要方法:
- 一项前性,前后性,单中心研究在英国一家10病房儿童医院进行.
- 在2020年至2023年期间,实施了五项干预措施,重点关注冲突解决,道德,息治疗,保障和升级支持.
- 2019年 (干预前) 和2024年 (干预后) 进行了护理和医疗团队的前期调查.
主要成果:
- 在干预后,报告有紧张感的儿童的患病率从42% (65/153) 降至30% (42/138) (p=0.03).
- 观察到未解决的保护问题有统计学意义的减少 (18%至3%,p<0.0001).
- 在患有多种并发症的儿童中,压力降低了 (55%至38%,p=0.028).
结论:
- 多模式,全医院范围的干预措施与整体医疗保健相关紧张局势的减少有关.
- 需要进一步的研究来证实可重现性,并探索患者和家庭对这些干预措施的看法.
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