下肢截肢后从医院到家:医疗保健专业人员对过渡的看法和经验的焦点小组研究

IF 1.5 Q3 NURSING
Sarah Køberl , Katja Schrøder , Dorte Dall-Hansen , Charlotte Abrahamsen
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引用次数: 0

摘要

接受下肢截肢的患者通常有多种合并症,需要许多医疗保健专业人员(HCPs)的护理。此外,他们在截肢后可能会遇到身体、医疗和实际方面的挑战。有复杂需求的患者在护理过渡期间特别脆弱,可能会从综合护理模式中受益。目的本研究旨在探讨医护人员对下肢截肢患者实施综合护理模式后过渡过程的看法和经验。方法对来自丹麦一家医院及周边3个地区的13名医护人员进行两个焦点小组的调查;都在安全旅行计划中工作。访谈采用专题分析进行分析。结果创建了三个主题:1)成为跨部门的团队;2)作为患者安全驱动因素的护理连续性;3)实现安全过渡的挑战。“安全之旅”计划促进了跨学科团队的建设、跨部门沟通和专业关系,增强了医护人员对患者安全和护理连续性的认识。然而,医护人员的工作量增加了,包括协调和病人在家就诊。结论shcps认为安全之旅项目对接受下肢截肢的患者有价值,并促进了跨部门的专业关系、沟通、连续性和患者安全。但是,与传统模式相比,该方案既费时又耗费资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From hospital to home following a lower limb amputation: A focus group study of healthcare professionals’ views and experiences with transitioning

Introduction

Patients undergoing major lower limb amputation often have multiple comorbidities, requiring care from numerous healthcare professionals (HCPs). Furthermore, they may experience physical, medical and practical challenges post-amputation. Patients with complex needs are particularly vulnerable during care transitions and may benefit from integrated care models.

Aim

This study aimed to explore HCPs’ views and experiences regarding the transition process after implementing an integrated care model for patients with lower limb amputation.

Methods

We conducted two focus groups with 13 HCPs from a Danish hospital and three surrounding districts; all working in the Safe Journey programme. The interviews were analysed using thematic analysis.

Results

Three themes were created: 1) becoming a team across sectors, 2) continuity of care as a driver for patient safety and 3) challenges in achieving safe transitions. The Safe Journey programme facilitated the construction of an interdisciplinary team, cross-sectoral communication and professional relations, increasing HCPs’ sense of improved patient safety and care continuity. However, HCPs experienced an increased workload, including coordination and at-home patient visits.

Conclusions

HCPs found the Safe Journey programme to be valuable for patients undergoing major lower limb amputation and promotive of cross-sectoral professional relations, communication, continuity and patient safety. However, the programme was time- and resource-consuming compared to conventional models.

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