Zelko Erika, Ramsak Pajk Jozica, Škvarč Nevenka Krčevski
Institut for General Practice, Medical Faculty, University Linz, 4020 Linz, Austria.
Community Health Center Ljubljana, 1000 Ljubljana, Slovenia.
Healthcare (Basel). 2022 Jan 22;10(2):216. doi: 10.3390/healthcare10020216.
Interprofessional collaboration is an important part of palliative care. Effective communication and information exchange is essential for a high quality of care. The aim of this study was to test the effectiveness of a new tool for exchanging information between professionals in palliative care on primary healthcare level.
With suggestions from the experts regarding palliative care needs in an interprofessional team from the Delphi study and community nurses from the field, we developed a paper version of the tool. The paper version was tested in a pilot phase, and subsequently, we conducted ten semi-structured interviews with the users of the new tool to test its feasibility and usability. The data were analyzed using qualitative content analysis, leading to improvement and development of the digital version of the new tool.
After completing the pilot phase of the research, we identified the following four categories: a systematic tool for more consistent treatment and better communication during the patient's visit; training and empowerment; quality, safety and digitalization; these categories were later included in the final version of the digital communication tool.
Effective palliative care requires a good exchange of information and communication between all care professionals who work with the patient. Effective communication contributes to making patients and their relatives feel safe in their home environment and allows patients to stay in their homes even as their disease progresses. The systematical new tool was assessed as useful to improve interdisciplinary cooperation and prepared in a digital version. Further research after the long-term use of the developed digital tool in everyday work might confirm its sustaining importance.
跨专业协作是姑息治疗的重要组成部分。有效的沟通和信息交流对于高质量护理至关重要。本研究的目的是测试一种用于在基层医疗保健层面的姑息治疗专业人员之间交换信息的新工具的有效性。
根据德尔菲研究中跨专业团队的专家以及该领域社区护士提出的关于姑息治疗需求的建议,我们开发了该工具的纸质版本。纸质版本在试点阶段进行了测试,随后,我们对新工具的用户进行了十次半结构化访谈,以测试其可行性和可用性。使用定性内容分析法对数据进行分析,从而对新工具的数字版本进行改进和开发。
在完成研究的试点阶段后,我们确定了以下四个类别:一种用于在患者就诊期间实现更一致治疗和更好沟通的系统工具;培训与赋能;质量、安全与数字化;这些类别后来被纳入数字通信工具的最终版本。
有效的姑息治疗需要与患者合作的所有护理专业人员之间进行良好的信息交流和沟通。有效的沟通有助于让患者及其亲属在家庭环境中感到安心,并使患者即使在疾病进展时也能居家。这种系统性的新工具被评估为有助于改善跨学科合作,并已准备好数字版本。在日常工作中长期使用所开发的数字工具后的进一步研究可能会证实其持续的重要性。