概念化暴露式护理的核心组成部分:德尔菲质量改进研究
Rachel L Boska1, Laura M Lesnewich1, Katharine J Bloeser1
1War Related Illness and Injury Study Center (WRIISC), Veterans Affairs New Jersey Health Care System, East Orange, NJ.
Medical care
|December 12, 2025
概括
这项研究定义了对有军事环境暴露的退伍军人的"暴露知情护理". 制定了六部分框架,以指导医疗保健提供者有效解决患者关切问题.
科学领域:
- 环境健康 环境健康
- 改善临床质量 改善临床质量
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 环境暴露很普遍,可能会影响健康,导致患者的担忧.
- 需要考虑患者经验的"知情护理"方法,以改善对暴露问题的临床护理.
- 了解退伍军人与军事环境暴露的经历,对于有效的护理至关重要.
研究的目的:
- 为退伍军人定义"暴露知情护理"的核心组成部分.
- 建立一个框架,将环境暴露考虑纳入临床实践.
主要方法:
- 使用了经过修改的Delphi质量改进研究.
- 35名军事环境暴露专家的专家意见在4轮收集.
- 在证据有限的情况下,Delphi方法促进了对关键组件的共识.
主要成果:
- 二十个陈述被同意作为暴露信息护理的核心组成部分.
- 制定了一个六部分框架,包括一致的沟通,建立信任,提供资源,评估,专业责任和整合到护理中.
- 这些组成部分代表了专家在定义暴露知情护理方面的共识.
结论:
- 这六部分框架提供了一种由专家定义的"暴露知情护理"模型.
- 这一框架可以指导实施改善对面临环境暴露问题的退伍军人护理.
- 对每个组件的影响和实施的进一步研究是有必要的.
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