目的通过对卒中居家患者跌倒体验及应对方式进行Meta整合,依据整合结果总结现存问题并提出建议。方法计算机检索PubMed、Medline、Embase、Web of Science等数据库,搜集有关卒中患者居家跌倒体验的质性研究。检索时限均为从建库至2023年...目的通过对卒中居家患者跌倒体验及应对方式进行Meta整合,依据整合结果总结现存问题并提出建议。方法计算机检索PubMed、Medline、Embase、Web of Science等数据库,搜集有关卒中患者居家跌倒体验的质性研究。检索时限均为从建库至2023年1月。采用“澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准”评价,利用汇集性整合方法对结果进行整合。结果共纳入文献6篇,提炼出18个明确的研究结果,将相似结果归纳组合形成6个新的类别,并综合成3个主要主题。整合结果显示:卒中患者发生跌倒后心理问题严重、应对方式不佳以及预防跌倒需求未被满足,导致其社会参与和运动减少。结论需完善跌倒评估内容、针对评估结果进行相应的预防跌倒健康教育,帮助卒中居家患者及照顾者建立正确的应对方式,从而避免跌倒的发生。展开更多
In nursing homes, knowledge about patient safety culture is still limited. This study investigates staff perceptions of patient safety culture in Norwegian nursing homes, measured with the Nursing Home Survey on Patie...In nursing homes, knowledge about patient safety culture is still limited. This study investigates staff perceptions of patient safety culture in Norwegian nursing homes, measured with the Nursing Home Survey on Patient Safety Culture (NHSOPSC). 466 (69%) staff from 12 different nursing homes participated. The total percentages of positive responses for each patient safety culture dimension and differences in perceptions according to staff’s educational background and position were calculated. Multiple linear regression analysis was used to test if the NHSOPSC dimensions predicted participants’ ratings of the question “Please give this nursing home an overall rating on patient safety”. The proportion of positive responses was high, with six of ten dimensions having an average percentage above 70%. “Supervisor expectations and actions promoting patient safety” (88%), “feedback and communication about incidents” (87%), and a “non-punitive response to mistakes” (78%) had high average scores, while “staffing” (46%) and “training and skills” (56%) had the lowest average scores. Managers reported higher scores on all dimensions, except for “compliance with procedures” compared with other staff groups. Educational level had less influence on staff’s perceptions of patient safety culture than management position. The ten NHSOPSC dimensions explained 47.2% of the variance for the overall rating question “Please give this nursing home an overall rating on patient safety” (F [10, 384] = 34.39, p < 0.001). “Management and organizational learning” had the strongest unique contribution (28.1%). This study suggests that staff working at the bedside have confidence in their nursing managers’ attention to patient safety issues and that a non-punitive environment is prevalent in Norwegian nursing homes.展开更多
Perioperative home （PH） or perioperative surgical home （PSH） is a patient centered medical service or primary care provider aimed at share decision-making and seamless continuity of care for the surgical patient. ...Perioperative home （PH） or perioperative surgical home （PSH） is a patient centered medical service or primary care provider aimed at share decision-making and seamless continuity of care for the surgical patient. The goal is to improve operational efficiency, decrease resource utilization, reduce length of hospital/intensive care unit （ICU） stay and readmission, and to decrease complication and mortality rates. PH is an innovative model of delivering health care during the entire patient surgical/procedural experience. This model is centered around patient from the time of the decision for surgery till the patients have recovered and returned to the care of themselves.展开更多
文摘目的通过对卒中居家患者跌倒体验及应对方式进行Meta整合,依据整合结果总结现存问题并提出建议。方法计算机检索PubMed、Medline、Embase、Web of Science等数据库,搜集有关卒中患者居家跌倒体验的质性研究。检索时限均为从建库至2023年1月。采用“澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准”评价,利用汇集性整合方法对结果进行整合。结果共纳入文献6篇,提炼出18个明确的研究结果,将相似结果归纳组合形成6个新的类别,并综合成3个主要主题。整合结果显示:卒中患者发生跌倒后心理问题严重、应对方式不佳以及预防跌倒需求未被满足,导致其社会参与和运动减少。结论需完善跌倒评估内容、针对评估结果进行相应的预防跌倒健康教育,帮助卒中居家患者及照顾者建立正确的应对方式,从而避免跌倒的发生。
文摘In nursing homes, knowledge about patient safety culture is still limited. This study investigates staff perceptions of patient safety culture in Norwegian nursing homes, measured with the Nursing Home Survey on Patient Safety Culture (NHSOPSC). 466 (69%) staff from 12 different nursing homes participated. The total percentages of positive responses for each patient safety culture dimension and differences in perceptions according to staff’s educational background and position were calculated. Multiple linear regression analysis was used to test if the NHSOPSC dimensions predicted participants’ ratings of the question “Please give this nursing home an overall rating on patient safety”. The proportion of positive responses was high, with six of ten dimensions having an average percentage above 70%. “Supervisor expectations and actions promoting patient safety” (88%), “feedback and communication about incidents” (87%), and a “non-punitive response to mistakes” (78%) had high average scores, while “staffing” (46%) and “training and skills” (56%) had the lowest average scores. Managers reported higher scores on all dimensions, except for “compliance with procedures” compared with other staff groups. Educational level had less influence on staff’s perceptions of patient safety culture than management position. The ten NHSOPSC dimensions explained 47.2% of the variance for the overall rating question “Please give this nursing home an overall rating on patient safety” (F [10, 384] = 34.39, p < 0.001). “Management and organizational learning” had the strongest unique contribution (28.1%). This study suggests that staff working at the bedside have confidence in their nursing managers’ attention to patient safety issues and that a non-punitive environment is prevalent in Norwegian nursing homes.
基金supported by the University of California Davis Health System Department of Anesthesiology and Pain Medicine,and NIH grant UL1 TR000002
文摘Perioperative home （PH） or perioperative surgical home （PSH） is a patient centered medical service or primary care provider aimed at share decision-making and seamless continuity of care for the surgical patient. The goal is to improve operational efficiency, decrease resource utilization, reduce length of hospital/intensive care unit （ICU） stay and readmission, and to decrease complication and mortality rates. PH is an innovative model of delivering health care during the entire patient surgical/procedural experience. This model is centered around patient from the time of the decision for surgery till the patients have recovered and returned to the care of themselves.
