关于新医院成咨询服务的多学科观点:一种混合方法研究
Research square
|January 9, 2026
概括
医院成咨询服务 (ACS) 改善了物质使用障碍 (SUD) 护理,但护士报告说感知效益较低. 加强ACS整合和培训所有临床医生可以优化护理和支持.
科学领域:
- 成 药物 药物 药物 药物
- 医疗保健系统 医疗保健系统
- 护理实践 护理实践
背景情况:
- 基于医院的成咨询服务 (ACS) 在管理物质使用障碍 (SUD) 方面变得越来越重要.
- 了解不同的临床医生对ACS影响的看法对于优化其有效性至关重要.
- 不同的角色可能会影响医生,高级实践提供者 (APP) 和护士如何看待ACS贡献.
研究的目的:
- 评估和比较医生,APP和护士对医院ACS的态度和看法.
- 确定在不同临床角色中对ACS感知影响的潜在差异.
- 探索加强ACS整合和在住院患者环境中的有效性的策略.
主要方法:
- 在ACS实施后18个月,对医生,APP和护士进行了基于网络的调查.
- 实施后7-9个月进行了半结构面试,以收集定性见解.
- 调查数据使用描述性统计和千平方测试进行分析;采访使用主题内容分析.
主要成果:
- 大多数临床医生认为ACS对患者护理的积极影响;793名临床医生中有311人作出反应 (39%的响应率).
- 与医生和APP相比,护士报告说,与医生和APP相比,护理质量和沟通的感知改善明显较低 (p < 0.001).
- 定性数据显示,护士对沟通缺口,有限的整合和需要SUD培训的担忧.
结论:
- 住院 ACS 对 SUD 护理有积极的影响,但可以通过更好地整合所有前线提供者来加强.
- 建议将护士纳入ACS,促进多学科合作,并提供标准化的SUD培训.
- 这些策略可以提高团队凝聚力,并确保所有提供者都感到有能力管理SUD患者.
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