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在一所学术医疗中心,对一项新的牧师干预措施“这是我的故事”进行 ICU 扩展,以支持提供非语言交流患者护理的跨学科医疗团队。

An ICU Expansion of a Novel Chaplain Intervention, "This is My Story," to Support Interdisciplinary Medical Teams Delivering Care to Non-Communicative Patients in an Academic Medical Center.

机构信息

Department of Spiritual Care and Chaplaincy, The Johns Hopkins Hospital, 600 N Wolfe Street, Hurd 101, Baltimore, MD, 21287, USA.

, 36 S. Main St, Stewartstown, PA, 17363, USA.

出版信息

J Relig Health. 2023 Feb;62(1):83-97. doi: 10.1007/s10943-022-01567-9. Epub 2022 Apr 28.

Abstract

The intervention "This is My Story" (TIMS) was previously developed and presented as a case study involving chaplains and support to non-communicative patients (Tracey et al in J Religion Health, 60(5):3282-3290, 2021). This further investigation aims to determine feasibility by looking at eight criteria: acceptability, demand, implementation, practicality, adaptation, integration, expansion, and limited-efficacy testing (Bowen et al in Am J Prev Med 36(5):452-457, 2009). Chaplains conducted recorded conversation with a patient's loved one, then it was edited for brevity and succinctness, and uploaded to the patient's medical chart and can be listened to at any time by medical providers. A completed interview, posted to the patient's electronic medical record (EMR), and able to be listened to by the medical team, was found to be contingent upon two factors: proximity to time between referral to call completion and amount of clinical experience of the chaplain.

摘要

干预措施“这是我的故事”(TIMS)此前已开发并呈现为一个案例研究,涉及牧师和对非交流患者的支持(Tracey 等人,《宗教与健康杂志》,60(5):3282-3290,2021)。这项进一步的调查旨在通过考察八项标准来确定可行性:可接受性、需求、实施、实用性、适应性、整合、扩展和有限疗效测试(Bowen 等人,《美国预防医学杂志》,36(5):452-457,2009)。牧师与患者的亲人进行了录音对话,然后对其进行了简短和简洁的编辑,并上传到患者的医疗图表中,医疗提供者可以随时收听。完成的访谈,发布到患者的电子病历(EMR)中,并可由医疗团队收听,取决于两个因素:从转介到通话完成的时间接近程度和牧师的临床经验量。

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