围绕重症监护室推的专业间合作的解剖学:在严重疾病护理培训后的探索
Jessica L Logeman1, Christine McCarthy1, Arden O'Donnell1
1Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.
经过严重疾病对话培训的跨专业团队记录了各个领域的护理建议. 临床医生灵活地使用语音来表示他们在医疗重症监护病房的实践范围.
科学领域:
- 医学伦理 医学伦理
- 医疗保健通讯 医疗保健通讯
- 抚慰性护理是一种缓解性护理.
背景情况:
- 严重疾病对话对于基于团队的医疗保健建议至关重要.
- 了解记录这些对话的专业间合作是有限的.
研究的目的:
- 检查在严重疾病治疗计划 (SICP) 中接受培训的临床医生在严重疾病对话后如何记录建议.
- 分析医疗重症监护室 (MICU) 的跨专业团队之间的记录实践.
主要方法:
- 在一个学术医院的MICU患者的回顾性图表审查.
- 记录严重疾病对话和建议的诱导性内容分析.
- 从2019年1月1日至12月31日收集的数据.
主要成果:
- 在207次对话中,85.5%的对话包括由护士 (44.6%),医生学员 (36.7%) 和息护理顾问 (18.6%) 记录的建议.
- 建议涵盖了代码状态,治疗干预,心理社会支持和沟通.
- 临床医生使用主动声音对自己的建议和被动声音对他人",表明实践范围.
结论:
- 在MICU中接受SICP培训的临床医生经常记录多个领域的建议.
- 在文档中灵活使用主动和被动语音标志着临床医生的实践范围.
- 这项研究强调了严重疾病护理中有效的专业间沟通和文档.
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