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术后护理的质量框架:快速审查和参与性练习
Kristina Wanyonyi-Kay1, Graham P Martin2, Sarah Ball3
1THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK kristina.wanyonyi-kay@thisinstitute.cam.ac.uk.
BMJ quality & safety
|January 12, 2026
概括
为了提供高质量的术后护理,开发了一个新的10个领域的术后护理框架 (P-Frame). 这一基于证据的框架整合了临床医生和患者的观点,以提高护理质量和支持研究.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 在外科手术期间的医学.
- 发展框架 发展框架
背景情况:
- 术后护理的质量需要一个全面的,以证据为基础的框架.
- 现有的结构和流程需要质量评估的概念基础.
- 需要将患者和临床医生的观点纳入质量框架.
研究的目的:
- 开发一个基于概念的质量框架,用于外科手术期间的护理结构和过程.
- 创建一个以证据为基础的工具,用于监测和改进术后护理.
- 将多学科专业和患者/护理人员的观点整合到一个统一的框架中.
主要方法:
- 对国际学术和英国灰色文学进行了快速审查.
- 参与性咨询涉及英国多学科专业人员和患者/护理人员代表.
- 通过诱导过程合成了研究结果,并进行了定量和定性分析.
主要成果:
- 开发了一个10个领域的Perioperative Framework (P-Frame),包括结构和流程特征.
- 该框架包括环境,领导力,文化,决策,团队合作,患者优化,协议,术后支持,教育和劳动力规划等领域.
- P-Frame整合了患者/护理人员在护理的临床,操作和体验层面的观点.
结论:
- "P-Frame"为监测和提高术后护理质量提供了一个有价值的工具.
- 该框架基于当前的证据和英国临床医生和患者的观点.
- 建议在不同的环境中进行进一步的评估和测试,以确定其实用性.
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