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促进市级医疗保健中标准化护理计划的实施。

Facilitating the Implementation of Standardized Care Plans in Municipal Healthcare.

机构信息

Author Affiliations: Faculty of Medicine, Department of Nursing Science, Institute of Health and Society, University of Oslo (Ms Østensen and Dr Hellesø), Oslo, Norway; Lovisenberg Diaconal University College (Ms Østensen), Oslo, Norway; and School of Human and Health Sciences, University of Huddersfield (Dr Hardiker), Huddersfield, United Kingdom.

出版信息

Comput Inform Nurs. 2021 Aug 4;40(2):104-112. doi: 10.1097/CIN.0000000000000798.

Abstract

Standardized care plans have the potential to enhance the quality of nursing records in terms of content and completeness, thereby better supporting workflow, easing the documentation process, facilitating continuity of care, and permitting systematic data gathering to build evidence from practice. Despite these potential benefits, there may be challenges associated with the successful adoption and use of standardized care plans in municipal healthcare information practices. Using a participatory approach, two workshops were conducted with nurses and nursing leaders (n = 11) in two Norwegian municipalities, with the objective of identifying success criteria for the adoption and integration of standardized care plans into practice. Three themes were found to describe the identified success criteria: (1) "facilitating system level support for nurses' workflow"; (2) "engaged individuals creating a culture for using standardized care plans"; and (3) "developing system level safety nets." The findings suggest success criteria that could be useful to address to facilitate the integration of standardized care plans in municipal healthcare information practice and provide useful knowledge for those working with implementation and further development of standardized care plans.

摘要

标准化护理计划有可能在内容和完整性方面提高护理记录的质量,从而更好地支持工作流程,简化文档编制过程,促进护理连续性,并允许系统地收集数据,从实践中积累证据。尽管有这些潜在的好处,但在市政医疗保健信息实践中成功采用和使用标准化护理计划可能会面临挑战。本研究采用参与式方法,在挪威的两个市与护士和护理管理人员(n=11)共同举办了两次研讨会,目的是确定采用和整合标准化护理计划的成功标准。研究发现三个主题可以描述确定的成功标准:(1)“促进系统层面支持护士的工作流程”;(2)“有参与意识的个人创造使用标准化护理计划的文化”;(3)“开发系统层面的安全网”。研究结果提出了有助于促进市政医疗保健信息实践中整合标准化护理计划的成功标准,并为那些致力于实施和进一步开发标准化护理计划的人提供了有用的知识。

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