熟练护理机构员工支持心力衰竭疾病管理的信息需求。
Information Needs of Skilled Nursing Facility Staff to Support Heart Failure Disease Management.
机构信息
Colorado School of Public Health, Aurora, CO.
Sinclair School of Nursing, University of Missouri, Columbia, MO.
出版信息
AMIA Annu Symp Proc. 2021 Jan 25;2020:878-885. eCollection 2020.
OBJECTIVES
Characterize key tasks and information needs for heart failure disease management (HF-DM) in the distinct care setting of skilled nursing facility (SNF) staff in partnership with community-based clinical stakeholders. Develop design recommendations contextualized to the SNF setting for informatics interventions for improved HF-DM in the SNF setting.
METHODS
Semi-structured interviews with fifteen participants (registered nurses, licensed practical nurses, certified nursing aides and physicians) from 8 Denver-metro SNFs. Data coded using a data-driven, inductive approach.
RESULTS
Key tasks of HF-DM: symptom assessment, communicating change in condition, using equipment, documentation of daily weights, and monitoring patients. Themes: 1) HF-DM is challenged by a culture of verbal communication; 2) staff face knowledge barriers in HF-DM that are partially attributed to unmet information needs. HF-DM information needs: identification of HF patients, HF signs and symptoms, purpose of daily weights, indicators of worsening HF, purpose of sodium restricted diet, and materials to improve patients' understanding of HF.
DISCUSSION AND CONCLUSIONS
HF-DM information needs are not fully supported by current SNF information systems.
目的
与社区临床利益相关者合作，确定熟练护理机构（SNF）工作人员在心力衰竭疾病管理（HF-DM）方面的关键任务和信息需求，以描述 SNF 环境中的心力衰竭疾病管理。针对改善 SNF 中 HF-DM 的信息学干预措施，制定与 SNF 环境相关的设计建议。
方法
对来自丹佛都会区 8 家 SNF 的 15 名参与者（注册护士、执业护士、认证护士助理和医生）进行半结构化访谈。使用数据驱动的归纳方法对数据进行编码。
结果
HF-DM 的关键任务：症状评估、沟通病情变化、使用设备、记录每日体重和监测患者。主题：1）HF-DM 受到口头沟通文化的挑战；2）工作人员在 HF-DM 方面面临知识障碍，部分归因于未满足的信息需求。HF-DM 的信息需求：HF 患者的识别、HF 体征和症状、每日体重的目的、HF 恶化的指标、低盐饮食的目的以及改善患者对 HF 理解的材料。
讨论与结论
目前的 SNF 信息系统不能完全满足 HF-DM 的信息需求。
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