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使用白板让患者、家属和专业人员在床边参与进来。

Engaging patients, families and professionals at the bedside using whiteboards.

作者信息

Law Susan, Antonacci Rosetta, Ormel Ilja, Hidalgo Marcela, Ma Julia, Dyachenko Alina, Laframboise Devon, Doucette Elaine

机构信息

Mary's Research Centre, Department of Family Medicine, McGill UniversitySt. , Montreal, QC, Canada.

Institute for Better Health, University of Toronto & Senior Scientist, Toronto, ON, Canada.

出版信息

J Interprof Care. 2023 May-Jun;37(3):400-409. doi: 10.1080/13561820.2022.2074379. Epub 2022 Jul 26.

Abstract

Health-care systems around the world are striving to be patient-centered, and there is growing evidence that engaging patients and families in their care, as well as in efforts to redesign services, contributes to improved outcomes and experiences for patients and providers. This patient-oriented care movement includes efforts to improve the quality of information and communication between health-care professionals and patients as well as families and caregivers. Whiteboards have emerged as a best practice in hospitals to promote engagement and improve information and communication, yet with limited empirical evidence regarding their value to patients, families, or interprofessional teams. We introduced whiteboards on an acute medical unit at a community hospital and conducted an evaluation using a pre-post design collecting both qualitative and quantitative data. Baseline and post-implementation data were collected via qualitative interviews with patients/family and providers and using the Canadian Patient Experience Survey; focus groups were held with staff and members of the care team. Qualitative results highlighted improvements in communication between the care team and patients as well as family members. Implications for practice include attention to patient/family empowerment and safety, adherence to guidance for good communication, and support for regular training and education in the use of communication tools for members of the interprofessional team.

摘要

世界各地的医疗保健系统都在努力以患者为中心,而且越来越多的证据表明,让患者及其家人参与到他们的护理以及重新设计服务的工作中,有助于改善患者和医疗服务提供者的治疗效果与体验。这场以患者为导向的护理运动包括努力提高医疗保健专业人员与患者以及家人和护理人员之间信息和沟通的质量。白板已成为医院促进参与并改善信息与沟通的一种最佳做法,但关于其对患者、家人或跨专业团队价值的实证证据有限。我们在一家社区医院的急性医疗科室引入了白板,并采用前后设计进行评估,收集定性和定量数据。通过对患者/家属和医疗服务提供者进行定性访谈以及使用加拿大患者体验调查来收集基线数据和实施后的数据;与工作人员和护理团队成员举行了焦点小组讨论。定性结果突出了护理团队与患者以及家庭成员之间沟通的改善。对实践的启示包括关注患者/家属的赋权和安全、遵守良好沟通的指导原则,以及支持为跨专业团队成员开展关于使用沟通工具的定期培训和教育。

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