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眼科联络官的影响:英国眼科诊所的定性研究。

Impact of eye clinic liaison officers: a qualitative study in UK ophthalmology clinics.

机构信息

Welsh Institute for Health and Social Care, University of South Wales, Pontypridd, UK.

Royal National Institute of Blind People, London, UK.

出版信息

BMJ Open. 2019 Mar 3;9(3):e023385. doi: 10.1136/bmjopen-2018-023385.

Abstract

OBJECTIVES

To explore the impact of eye clinic liaison officers (ECLOs, also known as sight loss advisors) on the processes, functions and quality of ophthalmology clinics through the experiences of ophthalmology staff in the UK.

DESIGN

Qualitative study.

SETTING

UK hospital ophthalmology clinics.

PARTICIPANTS

Health and social care professionals in the UK.

RESULTS

ECLOs who had a presence in hospital ophthalmology clinics were seen as valuable in streamlining processes within the clinic, particularly in relation to the certification of visual impairment process, and providing continuity of care for patients when they were discharged from medical treatment. ECLOs also saved staff time in the clinic, as they were often responsible for providing emotional and practical support for patients living with sight loss.

CONCLUSIONS

ECLOs are well placed in ophthalmology clinics. They can relieve pressure on clinical staff by taking on information giving and referring duties, allowing other staff to focus on their clinical responsibilities. The impact of ECLOs may depend on efficient communication with the clinical team, being trusted by other staff and having a good knowledge of local and national sight loss support services outside of the hospital setting. Further research could enhance our understanding of how much time and associated costs ECLOs substitute in the ophthalmology clinic.

摘要

目的

通过英国眼科工作人员的经验,探讨眼科联络官(ECLO,也称为视力丧失顾问)对眼科诊所的流程、功能和质量的影响。

设计

定性研究。

地点

英国医院眼科诊所。

参与者

英国的卫生和社会保健专业人员。

结果

在医院眼科诊所配备 ECLO 的情况下,他们被认为在简化诊所内的流程方面具有价值,特别是在视觉障碍认证过程以及为患者从医疗中出院后提供护理连续性方面。ECLO 还为诊所的工作人员节省了时间,因为他们通常负责为视力丧失患者提供情感和实际支持。

结论

ECLO 在眼科诊所中处于有利地位。他们可以通过承担信息提供和转介职责来减轻临床工作人员的压力,使其他工作人员能够专注于他们的临床职责。ECLO 的影响可能取决于与临床团队的有效沟通、获得其他工作人员的信任以及对医院外本地和国家视力丧失支持服务的了解。进一步的研究可以增进我们对 ECLO 在眼科诊所中替代多少时间和相关成本的理解。

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