对接受全膝关节置换术的住院患者实施循证术前教育:最佳实践实施项目

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
MiaoMiao Yang, Lin Wang, Zheng Yu, Ying-Zhang
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引用次数: 0

摘要

术前教育是影响术后恢复、患者对手术的期望以及患者满意度的关键因素。虽然目前已有膝关节置换术患者术前教育指南,但患者的术前教育仍未达到最佳水平。 这项研究旨在提高医护人员和接受择期膝关节置换术患者的知识和技能。该项目利用术前教育来提高最佳实践的依从性。 该项目于2022年1月至10月在中国一家三甲医院的骨科开展。该项目以JBI循证医疗模式为理念指导,并使用JBI循证实施框架来指导实施。为基线审核和随访审核制定了两个审核标准,对20名接受择期膝关节置换术的患者进行了评估。 审计结果比较显示,就标准 1 而言,两次审计中接受术前教育的患者比例均为 100%。就标准 2 而言,达标率从基线审计的 0% 显著上升到后续审计的 90%。 临床审核是提高推荐最佳实践合规性的有效方法。领导力、团队资源管理、教育和监督对员工实施最佳实践很有帮助。今后还需要进行更多的审核,以保持实践的变化,确保项目的可持续性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project
Pre-operative education is a key factor influencing post-operative recovery, patient expectations of surgery, and patient satisfaction. Although there are guidelines for the pre-operative education of patients undergoing knee replacement, pre-operative education of patients remains suboptimal. This study aimed to improve the knowledge and skills of health care providers and patients undergoing elective knee replacement. The project used pre-operative education to increase compliance with best practices. This project was conducted from January to October 2022 in the orthopedic department of a tertiary hospital in China. The project was conceptually guided by the JBI Model of Evidence-Based Healthcare, while the JBI Evidence Implementation Framework was used to guide the implementation. Two audit criteria were developed for the baseline and follow-up audits, which assessed 20 patients undergoing elective knee replacement. A comparison of the audit outcomes revealed that for Criterion 1, the percentage of patients receiving pre-operative education in both audits was 100%. For Criterion 2, the compliance rate increased significantly from 0% in the baseline to 90% in the follow-up audit. A clinical audit is an effective approach to improving compliance with recommended best practices. Leadership, team resource management, education, and monitoring were helpful for staff in implementing the best practices. Further audits will need to be conducted to maintain practice changes and ensure that the project is sustainable.
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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