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信息传递给姑息治疗的质量。

Quality of information transferred to palliative care.

机构信息

University of Turku Finland, Department of Nursing Science, Turku, Finland.

Satakunta Hospital District, Pori, Finland.

出版信息

J Clin Nurs. 2023 Jul;32(13-14):3421-3433. doi: 10.1111/jocn.16453. Epub 2022 Jul 17.

Abstract

AIMS AND OBJECTIVES

To describe the quality of information coming from previous care units to palliative care.

BACKGROUND

Information quality is an interconnected concept that includes different dimensions and can be viewed from different perspectives. More knowledge is needed from a multi-professional perspective on the information quality coming to palliative care.

DESIGN

Descriptive qualitative study.

METHODS

Altogether 33 registered nurses, practical nurses, social workers and physicians working in palliative care were purposively selected to participate in thematic interviews. The research was carried out in six palliative care units in three hospital districts. The data were analysed by using deductive and inductive content analysis. The COREQ checklist was used.

RESULTS

Three main categories with thirteen categories were identified in connection with the deductive analysis based on the Clinical Information Quality framework: (1). Informativeness of information coming from previous care units to palliative care included accuracy, completeness, interpretability, plausibility, provenance and relevance. (2). Availability of information coming from previous care units to palliative care included accessibility, portability, security and timeliness. (3). Usability of information coming from previous care units to palliative care included conformance, consistency and maintainability. Each category is divided into sub-categories followed by narratives of their content.

CONCLUSIONS

This study provides new knowledge on the quality of information coming to palliative care from a multi-professional perspective. Professionals working in palliative care units highlight issues describing good information quality, but also point out quality issues and areas for improvement.

RELEVANCE TO CLINICAL PRACTICE

The results can guide the development of documentation practices and Health Information System development as well as be used in the generation of a new audit instrument of information quality.

摘要

目的和目标

描述从前一护理单元传递至姑息治疗的信息质量。

背景

信息质量是一个相互关联的概念,包括不同的维度,可以从不同的角度进行观察。从多专业的角度来看,姑息治疗需要更多关于传递至姑息治疗的信息质量的知识。

设计

描述性定性研究。

方法

共选择 33 名在姑息治疗中工作的注册护士、助理护士、社会工作者和医生,有意参与主题访谈。该研究在三个医院区的六个姑息治疗单元进行。使用演绎和归纳内容分析法对数据进行分析。使用 COREQ 清单。

结果

根据临床信息质量框架的演绎分析,确定了三个主要类别和十三个类别:(1)从前一护理单元传递至姑息治疗的信息的充分性,包括准确性、完整性、可解释性、合理性、来源和相关性。(2)从前一护理单元传递至姑息治疗的信息的可用性,包括可及性、便携性、安全性和及时性。(3)从前一护理单元传递至姑息治疗的信息的易用性,包括符合性、一致性和可维护性。每个类别都分为子类别,并附有其内容的说明。

结论

这项研究从多专业的角度提供了关于姑息治疗信息质量的新知识。姑息治疗单元的专业人员强调了描述良好信息质量的问题,但也指出了质量问题和改进领域。

临床相关性

研究结果可以指导文档实践和健康信息系统的发展,并用于生成新的信息质量审核工具。

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