提高急性老年护理专业间合作的质量:基于行动研究的多中心干预研究
Karen Versluys1, André Vyt2, Nele Van Den Noortgate3
1Department of Geriatric Medicine, Ghent University Hospital, C. Heymanslaan 10, 9000 Ghent, Belgium.
概括
通过参与式行动研究项目,急性老年护理的跨专业团队合作得到了显著的改善. 这涉及到指导和基于共识的变化,导致团队功能和以患者为中心的护理的持续改进.
科学领域:
- 医疗保健管理的管理
- 老年医学 老年医学
- 团队合作和协作团队合作和协作
背景情况:
- 有效的跨专业团队合作对于优质的患者护理至关重要,特别是在急性老年病的环境中.
- 优化协作需要结构化的干预和持续的支持.
- 以前的研究表明,需要可持续的模型来改善医疗保健中的团队动态.
研究的目的:
- 监测在急性老年护理中的跨专业团队工作和团队会议的长期改进.
- 评估参与式行动研究项目的对协作和以人为中心的护理的影响.
- 评估医疗保健团队质量改进的可持续性.
主要方法:
- 一个为期两年的参与行动研究项目,涉及七个医疗保健团队.
- 实施基于共识的组织变革和为团队领导人提供指导.
- 基于团队的自我评估,在基线,一年和两年使用专业间实践和教育质量表 (IPEQS),与初始评估的对照组进行初始评估.
主要成果:
- 在跨专业的团队工作功能中观察到显著的改善 (IPEQS-S: p = 0.013).
- 加强跨学科会议的组织,改善患者护理目标的专业间制定.
- 增加团队内部的批判性反思,并持续改善团队的运作.
结论:
- 跨专业团队的运作质量可以在急性老年护理中得到显著改善.
- 基于共识的组织变革与辅导支持相结合是有效的策略.
- 该研究表明,增强团队合作的可持续性及其对护理质量的积极影响.
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