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急性护理医院综合护理国家标准的实施策略:一项访谈研究。

Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study.

作者信息

Xiong Beibei, Stirling Christine, Bailey Daniel X, Prudon Paul, Martin-Khan Melinda

机构信息

Centre for Health Services Research, University of Queensland, Brisbane, Australia.

School of Nursing, University of Tasmania, Hobart, Australia.

出版信息

Int J Nurs Sci. 2025 Jun 11;12(4):369-378. doi: 10.1016/j.ijnss.2025.06.002. eCollection 2025 Jul.

DOI:10.1016/j.ijnss.2025.06.002
PMID:40786853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12332437/
Abstract

OBJECTIVE

This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.

METHODS

A qualitative descriptive study was conducted with 28 care professionals (20 nurses, two doctors, and six allied health professionals) recruited from a broad range of Australian acute care hospitals. Data were collected using semi-structured interviews from March to August 2023. The interviews were audio-recorded, transcribed, and thematically analyzed.

RESULTS

Strategies for implementing the Comprehensive Care Standard (CCS) vary, even within a health service organization. We identified strategies hospitals used regarding the implementation team and plan, communication, education and training, documentation system, patient care plan, networking, incentives and pressure, feedback, and reflecting and evaluating.

CONCLUSIONS

This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS, providing a practical foundation to inform implementation efforts both within Australia and internationally.

摘要

目的

本研究旨在探索急症医院在实施综合护理国家标准时所采用的策略。

方法

对从澳大利亚多家急症医院招募的28名护理专业人员(20名护士、2名医生和6名专职医疗人员)进行了定性描述性研究。2023年3月至8月期间,通过半结构化访谈收集数据。访谈进行了录音、转录,并进行了主题分析。

结果

即使在一个卫生服务组织内,实施综合护理标准(CCS)的策略也各不相同。我们确定了医院在实施团队与计划、沟通、教育与培训、文档系统、患者护理计划、网络、激励与压力、反馈以及反思与评估等方面所采用的策略。

结论

这项访谈研究揭示了医院在实施CCS时采用的各种策略,为澳大利亚国内和国际的实施工作提供了实用的参考依据。

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本文引用的文献

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Patient Experiences of Hospital Care in the Context of Comprehensive Care Delivery: A Mixed Method Study.综合医疗服务背景下患者的住院护理体验:一项混合方法研究
J Adv Nurs. 2025 Feb 24. doi: 10.1111/jan.16826.
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Identification of implementation enhancement strategies for national comprehensive care standards using the CFIR-ERIC approach: a qualitative study.运用 CFIR-ERIC 方法识别国家综合护理标准的实施增强策略:一项定性研究。
BMC Health Serv Res. 2024 Aug 23;24(1):974. doi: 10.1186/s12913-024-11367-4.
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The implementation and impacts of the Comprehensive Care Standard in Australian acute care hospitals: a survey study.澳大利亚急性护理医院综合护理标准的实施和影响:一项调查研究。
BMC Health Serv Res. 2024 Jul 11;24(1):800. doi: 10.1186/s12913-024-11252-0.
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Int J Nurs Sci. 2023 Dec 1;11(1):120-132. doi: 10.1016/j.ijnss.2023.11.001. eCollection 2024 Jan.
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BMC Health Serv Res. 2024 Jan 10;24(1):47. doi: 10.1186/s12913-023-10135-0.
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Improving Patient Outcomes Through Effective Hospital Administration: A Comprehensive Review.通过有效的医院管理改善患者治疗效果:全面综述
Cureus. 2023 Oct 26;15(10):e47731. doi: 10.7759/cureus.47731. eCollection 2023 Oct.
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The implementation and impacts of national standards for comprehensive care in acute care hospitals: An integrative review.急性护理医院综合护理国家标准的实施与影响:一项综合综述。
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