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出院计划流程的质量:联络护士的作用。

The quality of the discharge planning process: the effect of a liaison nurse.

作者信息

Peters P, Fleuren M, Wijkel D

机构信息

Research Center Primary/Secondary Health Care, University Hospital Vrije Universiteit, Amsterdam, The Netherlands.

出版信息

Int J Qual Health Care. 1997 Aug;9(4):283-7. doi: 10.1093/intqhc/9.4.283.

Abstract

A project employing a liaison nurse has been started in the Dutch Zaandam region. The liaison project will focus on the experience of problems in preparing for hospital discharge and on continuity between hospital and home care. This article discusses the effect of the liaison nurse on the quality of the discharge planning process. The investigation included a pre-test and a main test for which data were collected using questionnaires. These were sent to patients who had received after-care on being discharged from hospital. To measure the quality of the discharge process and after-care continuity, use was made of explicit quality criteria, targeting discharge planning. The results show that discharge planning in hospitals has improved. No significant improvement was detected with respect to continuity of care. It may be concluded that the discharge process requires more attention. The quality criteria used here could function as points of departure.

摘要

荷兰赞丹地区已启动一个配备联络护士的项目。该联络项目将聚焦于出院准备过程中的问题体验以及医院与家庭护理之间的连续性。本文讨论了联络护士对出院计划流程质量的影响。调查包括一项预测试和一项主要测试,通过问卷收集数据。问卷被发送给出院后接受后续护理的患者。为衡量出院流程和后续护理的连续性,采用了针对出院计划的明确质量标准。结果表明,医院的出院计划有所改善。在护理连续性方面未发现显著改善。可以得出结论,出院流程需要更多关注。这里使用的质量标准可作为出发点。

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