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回到基础的全医院培训改善了住院儿科护理的体验
Denise D Quigley1, Maria Panayotou2, Mary E Slaughter1
1RAND, Santa Monica, California.
一个全医院的培训计划通过加强沟通和安全协议来改善患者护理体验. 这一干预措施对儿童医院对医疗保健提供者和系统 (HCAHPS) 消费者评估调查的关键沟通和安全措施产生了积极的影响.
科学领域:
- 医疗保健管理的管理
- 改善患者体验 改善患者体验
- 临床沟通技巧培训 临床沟通技巧培训
背景情况:
- 医院领导人旨在增强患者护理体验.
- 培训课程通常用于改善临床医生和患者之间的互动.
- 有效的沟通和安全协议对于积极的医疗保健体验至关重要.
研究的目的:
- 评估全医院"回归基础"培训计划对住院儿科护理经验的影响.
- 评估干预后儿童医院医疗保健提供者和系统 (HCAHPS) 消费者评估得分的变化.
- 确定培训是否改善了沟通行为和安全协议.
主要方法:
- 为临床和非临床工作人员实施了一项全医院"回归基础"培训计划.
- 课程包括教学,视频演示和角色扮演,重点是沟通和安全.
- 儿童的HCAHPS分数在3个月的培训干预之前24个月和13个月后进行了比较.
主要成果:
- 在8项针对儿童的HCAHPS措施中,在5项中观察到具有统计学意义的增加.
- 在护士与患者的沟通,护士与儿童的沟通,医生与儿童的沟通,错误预防/关注报告和儿童舒适度方面,有所改善.
- 根据服务线或患者人口统计数据 (种族,种族,语言) 发现培训效果没有显著差异.
结论:
- 一次简短的全医院培训,重点是沟通和安全,显著提高了相关的儿童HCAHPS分数.
- "回归基础"培训为各种儿科和住院环境提供了可扩展的干预措施.
- 建议在不同的儿科医院环境和背景下进行进一步评估,以确认更广泛的适用性.
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