White Sian, Hart Natalie, Lewis Suzanne
Clinical Safety, Quality and Governance Directorate, Central Coast Local Health District, Gosford, NSW, Australia.
Int J Integr Care. 2021 Mar 15;21(1):13. doi: 10.5334/ijic.5527.
The Carer Support Unit (CSU) of the Central Coast Local Health District (CCLHD), NSW, Australia, developed, trialled and implemented a Carer Readiness Tool (CRT) to help carers gauge their readiness to care at home, highlight to hospital staff areas for additional support for carers, and provide evidence of carer engagement in discharge planning.
A rigorous co-design process was followed with carer consultation at key milestones in development of the CRT. The tool was piloted in two cancer/chronic renal disease inpatient units commencing November 2019.
The CRT was well-received by carers who appreciated the opportunity to complete the tool in their own time, not in front of the patient. Positive feedback was received from clinicians, including the breadth of the CRT's content which contributed to better discharge planning. The need to manually incorporate a hard copy form into the electronic medical record is a limitation of the CRT.
The CRT is context-specific and fit for purpose. During the development of the CRT, the project team focused on the face validity and usefulness of the tool. The next stage of the project will be formal evaluation of the tool to measure its impact.
澳大利亚新南威尔士州中央海岸地方卫生区(CCLHD)的护理者支持单元(CSU)开发、试用并实施了护理者准备工具(CRT),以帮助护理者评估其在家护理的准备情况,向医院工作人员突出显示需要为护理者提供额外支持的领域,并提供护理者参与出院计划的证据。
在CRT开发的关键节点,与护理者进行了严格的共同设计过程。该工具于2019年11月开始在两个癌症/慢性肾病住院单元进行试点。
CRT受到了护理者的好评,他们赞赏有机会在自己方便的时间而非在患者面前完成该工具。临床医生也给予了积极反馈,包括CRT内容的广度有助于更好地进行出院计划。需要手动将纸质表格纳入电子病历是CRT的一个局限性。
CRT是针对具体情况且适用的。在CRT的开发过程中,项目团队注重该工具的表面效度和实用性。项目的下一阶段将对该工具进行正式评估以衡量其影响。