欧洲心脏护理途径的弹性评估工具的开发:一种混合方法研究
Ana Sofia V Carvalho1,2, Óscar Brito Fernandes3,2, Jan J Piek4
1Public and Occupational Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands a.s.carvalho@amsterdamumc.nl.
BMJ open
|February 6, 2026
概括
一个新的弹性评估工具有助于加强欧洲的心脏护理途径,通过识别弱点并为医疗保健提供者和决策者提供可行的建议. 这种工具有助于提高准备能力,确保危机期间的护理连续性.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病对欧洲的心脏护理途径产生了重大影响,突出显示了增强恢复力的必要性.
- 利益相关者的见解对于了解挑战和制定有效策略来加强医疗保健系统至关重要.
研究的目的:
- 为欧洲的心脏护理途径开发一个弹性评估工具.
- 纳入利益相关者对COVID-19影响,创新和提高弹性建议的见解.
主要方法:
- 一项混合方法研究,涉及对177名欧洲心脏保健提供者和5个多利益相关方重点小组的调查,共有40名参与者.
- 使用描述性统计数据分析了定量数据,并以主题分析了定性数据.
- 参与开发弹性评估工具.
主要成果:
- 确定了心脏护理途径的六个关键弹性维度:劳动力,护理提供组织,治理和信任,沟通和合作,医疗器械和产品以及数据收集和使用.
- 人员短缺和基础设施容量是大流行的主要挑战,人员重新分配和基础设施的重新利用是常见的反应.
- 开发了一种具有四个组成部分的弹性评估工具:路径映射,利益相关者识别,带有热图的准备清单和资源工具包.
结论:
- 开发的弹性评估工具为加强六个维度的心脏护理途径提供了指导.
- 它有助于识别特定环境的漏洞和改进优先事项,支持准备和护理连续性.
- 该工具目前正在欧洲医院进行试点测试,以评估其实际适用性.
相关概念视频
Development of Analytical Methods
2.3K
An analytical methodology can be divided into four sequential steps: technique, method, procedure, and protocol. A technique is a scientific principle that rationalizes a specific phenomenon through chemical measurements. Adapting a technique for analyzing a sample of interest is termed a method. The procedure outlines the directions for performing the analysis via an analytical method. The protocol is the detailed guidelines on the procedure, which should be strictly followed to obtain the...
2.3K
Varicose Veins II: Diagnostic Studies and Interprofessional Care
225
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
225
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
469
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
469
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
899
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
899
C4 Pathway and CAM
49.2K
Most plants use the C3 pathway for carbon fixation. However, some plants, such as sugar cane, corn, and cacti that grow in hot conditions, use alternative pathways to fix carbon and conserve energy loss due to photorespiration. Photorespiration is the process that occurs when the oxygen concentration is high. Under such conditions, the rubisco enzyme in the Calvin cycle binds O2 instead of CO2, which halts photosynthesis and consumes energy.
C4 Pathway
The C4 pathway is used by plants such as...
C4 Pathway
The C4 pathway is used by plants such as...
49.2K
Interdisciplinary Care: The Health Care Team-I
2.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K


