预先指令作为复杂心理健康需求患者的护理规划工具:服务评估
Immanuel Amrita Rhema1, Mohamed Ibrahim1, Hajara Begum2
1General Adult Psychiatry, https://ror.org/01q0vs094East London NHS Foundation Trust, London, UK.
BJPsych bulletin
|January 8, 2026
概括
预先指示在31.2%的社区护理患者中存在. 诸如种族和特定服务等因素影响了他们的使用,强调了在事先的护理规划中需要更好的沟通和关系.
科学领域:
- 社区精神健康护理 社区精神健康护理
- 提前护理规划 提前护理规划
- 医疗服务研究 医疗服务研究
背景情况:
- 预先指示对于社区护理中的患者自主性至关重要.
- 东伦敦NHS基金会信托基金会 (ELFT) 预先指示的流行程度和影响因素以前未得到充分研究.
研究的目的:
- 为了确定在ELFT中根据护理计划方法 (CPA) 接受社区护理的患者中提前指示的流行情况.
- 确定与预先指令临床应用相关的人口,临床和服务水平因素.
主要方法:
- 在ELFT (2021-2022) 中根据CPA管理的4807名患者 (18-75岁) 的电子健康记录分析.
- 双项逻辑回归用于分析人口统计,临床,服务水平和患者报告的指标.
主要成果:
- 31.2%的CPA患者有一个提前指示.
- 与黑人种族,法医服务,特定地区,社会治疗住房,人格障碍诊断,多次入院和DIALOG+参与发现了积极的关联.
- DIALOG+是一种增强患者与临床医生会面的方法,使用患者报告的结果测量和以解决方案为中心的治疗.
结论:
- 预先护理计划的状态受到文化,社会和系统因素的复杂混合的影响.
- 结构化的沟通,强大的治疗关系和积极的员工促进是促进事先护理计划的关键.
更多相关视频
相关概念视频
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Planning Nursing Care II
3.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.5K
Methods of Documentation VI: Case Management Model
852
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
852


