采用定制方法进行与健康相关的社会需求的标准化筛查。
Utilizing a Tailored Approach to Standardized Screening of Health-Related Social Needs.
作者信息
Wright Qaashuntae C, Wiencek Clareen A, Williams Ishan C
机构信息
Author Affiliations: Intensive Care Unit, David Grant Medical Center, Fairfield, California (Dr Wright); and School of Nursing, University of Virginia, Charlottesville (Drs Wiencek and Williams).
出版信息
J Nurs Care Qual. 2024;39(2):114-120. doi: 10.1097/NCQ.0000000000000745. Epub 2023 Sep 8.
BACKGROUND
Despite the increased awareness of social determinants of health (SDoH), integrating social needs screening into health care practice has not consistently occurred.
LOCAL PROBLEM
No social needs screening using recommended standardized questions was available at an outpatient hemodialysis clinic.
METHODS
Plan-Do-Study-Act cycles, based on the Model for Improvement, were used to implement the Core 5 SDoH screening tool, a staff referral process, and an evaluation of the implementation process.
INTERVENTION
A standardized social needs screening tool and a staff referral process were implemented. An evaluation of the implementation process also occurred.
RESULTS
Of 73 patients screened, 21 reported 32 unmet social needs; all received referrals to community resources. Nurses demonstrated high acceptance and usability of the tool and the referral process.
CONCLUSIONS
Implementing a standardized screening and referral process customized to clinical workflow enhanced the identification of social needs in patients undergoing hemodialysis.
背景
尽管对健康的社会决定因素（SDoH）的认识有所提高，但将社会需求筛查纳入医疗保健实践的情况并不一致。
当地问题
一家门诊血液透析诊所没有使用推荐的标准化问题进行社会需求筛查。
方法
基于改进模型的计划-执行-研究-行动循环被用于实施核心5项社会决定因素筛查工具、员工转诊流程以及对实施过程的评估。
干预措施
实施了标准化的社会需求筛查工具和员工转诊流程。同时也对实施过程进行了评估。
结果
在接受筛查的73名患者中，21名报告了32项未满足的社会需求；所有患者都被转介到社区资源。护士对该工具和转诊流程表现出高度的接受度和易用性。
结论
实施根据临床工作流程定制的标准化筛查和转诊流程，提高了对血液透析患者社会需求的识别。
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