荷兰家庭护理护士所做的需求评估是否决定了实践的变化? 一个横截面的多层次分析
José Ie van Dorst1,2, Marit Schwenke3,4, Niels Hameleers5,2
1Department of Health Services Research, Maastricht University Care and Public Health Research Institute, Maastricht, Limburg, Netherlands j.vandorst@maastrichtuniversity.nl.
BMJ open
|January 7, 2026
概括
家庭护理护理评估显示出显著的差异,主要是由患者因素驱动的. 电子健康记录中不一致的文档也可能导致这些差异.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 需要评估对于优质的家庭护理至关重要.
- 事证据表明,在类似的情况下,患者护理的差异很大.
- 了解需求评估的实践变化是必不可少的.
研究的目的:
- 调查荷兰家庭护理护士对需求评估的实践变化.
- 确定影响这些护理差异的因素.
主要方法:
- 一个横截面的,定量回顾性研究设计.
- 数据来自28个组织和258名家庭护理护士,涉及荷兰1615名患者.
- 每个患者每周评估和交付的家庭护理分钟是主要的结果指标.
主要成果:
- 与患者相关的因素是需求评估变化的主要驱动因素.
- 患者水平占总变化的83% (评估的分钟) 和88% (交付的分钟).
- 家庭护理护士和组织层面也导致了变化,尽管程度较小. 报告指出,没有足够的文档.
结论:
- 缺乏全面的护理文档可能会导致需求评估的差异.
- 需要进一步的研究,以探索目前文档中没有捕捉到的与患者相关的因素.
- 解决文档缺口可以提高家庭护理需求评估的一致性和质量.
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