基于护士经验的出院计划面临的挑战及实施策略:一项质的研究

A. Nasiri, A. Akbari, Hamid Jani
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引用次数: 0

摘要

背景:出院护理计划的实施是医疗保健系统的核心问题之一。如果病人在出院前做好了准备,确定了病人的需求,并提供了充分的教育,那么出院计划就是成功的。目的:了解护理人员对出院计划面临的挑战及实施策略。方法:采用Lincoln和Guba方法进行内容分析。我们有目的地选择年龄、性别和工作经验最多样化的护士。数据收集过程是通过使用半结构化访谈进行的。结果:结果分为5大类14小类。主要类别包括对出院计划重视不够、缺乏标准和批准的出院计划、组织子结构缺陷、社会障碍和对出院现状的感知缺陷。结论:根据研究结果,通过批准书面出院计划,对工作人员和患者进行教育,重视出院后患者随访,完善子结构,考虑患者需求,可以采取切实可行的措施来更好地实施出院计划。
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Challenges and Implementation Strategies of the Discharge Planning According to the Nurses' Experiences: A Qualitative Study
Background: Implementation of discharge care planning is one of the essential issues in the health care system. A discharge planning is successful when a patient is prepared before the discharge process, the needs are identified, and adequate education is provided. Objectives: The present study aimed to survey the nurses' experiences regarding the challenges and implementation strategies of discharge planning. Methods: We used content analysis with the Lincoln and Guba approach. We purposefully selected nurses with maximum diversity in terms of age, sex, and work experience. The data collection process was performed through using semi-structured interviews. Results: The results were divided into five main categories and 14 subcategories. The main categories included inadequate attention to the discharge planning, lack of standard and approved discharge planning, defects in organizational sub-structure, social barriers, and perceived defects of the current discharge situation. Conclusions: According to the results, a practical step can be taken to better implement the discharge planning through approving a written discharge planning, educating the staff and patients, paying attention to patient follow-up after discharge, improving the sub-structure, and considering the patient needs.
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