瑞士德语区医院的老年创伤学快速通道和以人为本的护理——实践发展项目

IF 1.5 Q3 NURSING
Mayuri Sivanathan, Clemens Rabes
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引用次数: 0

摘要

老年人发生与健康相关的负面结果的风险增加,包括更高的死亡率。在一家讲德语的瑞士医院建立了一个老年创伤学中心,以提供更专业的、以人为本的护理,并减少对健康的负面影响。通过实施快速通道和以人为本的护理,对患者途径进行了调整和改变,以更好地满足个人需求。方法由一个跨专业、跨学科的老年创伤学专家小组对目前的患者路径进行分析。实践发展方法和以人为本的实践框架(pcp -框架)在整个参与过程中使用。在专家团队的一致意见下,样本被定义为年龄在65岁或以上,怀疑髋关节闭合性骨折的老年人。重点是来自pcp框架的“实践环境”的三个要素。它们是:(1)支持性组织系统;(2)物理环境;(3)适当的技能搭配。结果针对“实践环境”的三个要素进行了一些调整和改变。例如:(1)使用具体评估,共同决策;(二)正确有效地使用辅助工具;(3)整合高级执业护士。患者路径的调整被整合到标准操作程序中。结论通过积极参与实践发展方法论和关注以人为本,老年人护理过程得以适应。因此,通过解决个人需求,提供了快速通道和以人为本的老年创伤学护理。需要进一步的研究来评估和验证在临床实践中的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fast-track and person-centred care in geriatric traumatology in a German-speaking Swiss hospital – A practice development project

Introduction

Elderly persons have an increased risk for negative health-related outcomes, including higher mortality rates. A centre for geriatric traumatology was established in a German-speaking Swiss hospital to provide more specialised, person-centred care and to lower negative health outcomes. Adaptations and changes in the patient pathway were made by implementing fast-track and person-centred care to better address individual needs.

Methods

The current patient pathway was analysed by an interprofessional and interdisciplinary geriatric traumatology expert team. The practice development methodology and the Person-Centred Practice Framework (PCP-Framework) were used throughout this engagement process. In consensus within the expert team, the sample was defined as elderly persons aged 65 years or older with suspected hip joint closed fractures. The focus was on three elements of “practice environment” from the PCP-Framework. These were: (1) supportive organisational systems; (2) the physical environment; (3) appropriate skill mix.

Results

Several adaptations and changes were made addressing the three elements of “practice environment”. These were for example: (1) use of specific assessments, shared decision-making; (2) proper and effective use of aids; (3) integration of Advanced Practice Nurses. The adaptations in the patient pathway were integrated into the standard operating procedures.

Conclusions

Through active engagement with the practice development methodology and the focus on person-centredness, the process of care for elderly persons was adapted. Thus, by addressing individual needs, fast-track and person-centred care in geriatric traumatology is provided. Further research is needed to evaluate and to verify implications in clinical practice.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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