从多个专业的角度看跨专业查房所需的数据元素。

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Interprofessional Care Pub Date : 2024-05-01 Epub Date: 2020-11-15 DOI:10.1080/13561820.2020.1832447
Haleh Vatani, Himanshu Sharma, Kamel Azhar, Karl M Kochendorfer, Annette L Valenta, Karen Dunn Lopez
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引用次数: 0

摘要

医疗服务提供者之间缺乏持续开放的跨专业沟通系统,会增加沟通不畅和医疗失误。对于医疗服务提供者来说,无缝获取患者信息对于防止沟通不畅和提高患者安全非常重要。跨专业团队中的不同医疗服务提供者对信息需求缺乏共同的理解。我们的目的是从不同专业的角度出发,确定医疗服务提供者在沟通、共同了解患者和决策方面的信息需求。我们对中西部某大城市一家拥有 465 张病床的学术医院中的 10 位主题专家进行了半结构化访谈,他们分别代表牙科、营养学、医学、护理、职业治疗、药学、物理治疗和社会工作等 8 个专业。我们使用了一种内部查房工具,展示了医生的信息需求和假设病人的情况,以收集参与者的反馈意见。访谈记录采用直接内容分析法进行编码。我们为跨专业查房工具确定了 22 个额外的基本数据元素。我们将其分为六个领域:出院相关、健康的社会决定因素、医院安全、营养、跨专业情况意识和患者病史。一个精心设计的、经过验证的查房工具,包括了护理人员跨专业团队的信息需求,可以改善他们之间的沟通、护理计划和决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Required data elements for interprofessional rounds through the lens of multiple professions.

The lack of a proper system for ongoing open interprofessional communication among care providers increases miscommunications and medical errors. Seamless access to patient information is important for care providers to prevent miscommunication and improve patient safety. A shared understanding of the information needs of different care providers in an interprofessional team is lacking. Our purpose is to identify care providers' information needs from the perspective of different professions for communication, shared understanding about the patient, and decision-making. We conducted semi-structured interviews with 10 subject matter experts representing eight professions, including dentistry, dietetics, medicine, nursing, occupational therapy, pharmacy, physical therapy, and social work in a 465-bed academic hospital at a large urban Midwestern city. We used an in-house rounding tool presenting physicians' information needs and a hypothetical patient scenario to collect participants' feedback. Interview notes were coded using direct content analysis. We identified 22 additional essential data elements for an interprofessional rounding tool. We categorized those into six domains: discharge-related, social determinants of health, hospital safety, nutrition, interprofessional situation awareness, and patient history. A well-designed validated rounding tool that includes an interprofessional team of care providers' information needs could improve communication, care planning, and decision-making among them.

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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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