Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Am J Med Qual. 2024;39(5):220-228. doi: 10.1097/JMQ.0000000000000203. Epub 2024 Sep 16.
Patients managing central venous catheters (CVCs) outside of hospitals need training in CVC care. Using 3 focus groups, the study identified themes in how health care personnel (HCP) prepare patients and their caregivers for CVC care at home. Four major themes and 25 nested subthemes were identified: (1) providing the right amount of education at the right time, (2) tailoring education to patient needs, (3) developing patient education tools, and (4) managing differences in recommendations to patients. HCPs in the study ensured patients and caregivers learn what they need to know when they need to know it, using appropriate patient education tools. Patients and caregivers are largely responsible for CVC care and central line-associated bloodstream infection prevention outside of acute care hospitals and long-term care settings, and HCP take seriously their obligation to provide them with appropriate education and tools to best enhance their ability to keep themselves safe.
患者在医院外管理中心静脉导管 (CVC) 需要接受 CVC 护理培训。本研究通过 3 个焦点小组,确定了医护人员 (HCP) 如何在家中为患者及其护理人员准备 CVC 护理的主题。确定了 4 个主要主题和 25 个嵌套子主题:(1) 在适当的时间提供适量的教育,(2) 根据患者的需求调整教育,(3) 开发患者教育工具,以及 (4) 管理向患者推荐的差异。研究中的 HCP 确保患者及其护理人员在需要时学习所需的知识,使用适当的患者教育工具。患者及其护理人员在急性护理医院和长期护理环境之外主要负责 CVC 护理和中心静脉相关血流感染预防,HCP 认真履行其义务,为他们提供适当的教育和工具,以最大程度地提高他们保护自己安全的能力。