实施和评估RECAP框架:一个质量改善倡议
Courtenay R Bruce1, Natalie N Zuniga-Georgy1, Nathan Way2
1System Patient Experience, Houston Methodist System, Houston, TX 77030, USA.
Nursing reports (Pavia, Italy)
|February 26, 2026
概括
一个新的课程有效地教授护理人员的护理叙述 (NOC),改善了患者在护理过渡和沟通等领域的经验得分. 观察到的实践变化与课程目标保持一致,尽管因果关系需要进一步研究.
科学领域:
- 护理教育 护理教育
- 患者体验 患者体验
- 医疗保健通讯 医疗保健通讯
背景情况:
- 护理叙述 (NOC) 是一个关键的护理技能,涉及实时口头解释任务.
- 关于教学和评估NOC的有效方法的研究有限.
- 本研究侧重于NOC培训课程的实施和观察到的结果.
研究的目的:
- 描述为护理人员 (护士和PCA) 实施基于讨论的课程,以有效地叙述护理.
- 评估课程实施后患者体验和观察到的实践的变化.
主要方法:
- 在六个月内,在七家医院使用混合方法,实施前后设计.
- 定量数据包括HCAHPS得分和护士患者互动的结构化观察.
- 从课程评估中获得的定性数据被专题分析并与定量发现相结合.
主要成果:
- 4185名员工中有95%的人表示知识增加,并高度评价了课程.
- 在HCAHPS领域观察到显著的改善:护理过渡,清洁,药物沟通,离院沟通和休息.
- 实践观察表明,人们越来越多地使用NOC相关的行为,并有进一步改进的机会.
结论:
- 课程推出与患者体验措施和观察到的护理实践的改进相吻合.
- 虽然注意到了积极的变化,但不受控制的研究设计阻止了明确的因果推断.
- 建议对受控设计进行进一步的研究以确定因果关系.
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