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Quality Improvement Initiative about Patient Engagement with Clinicians in a Community Hospital.

机译：关于社区医院的医生参与患者参与质量改进计划。

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摘要

Chronic kidney disease (CKD) is a global health problem and efforts are needed to improve the care of individuals affected by the disease. A recent strategy for improving care within the healthcare system is patient engagement. Nurses and other health care clinicians can apply patient engagement into their clinical practice to improve the care they provide to their patients. Therefore, the purpose of this project was to increase the knowledge and awareness of patient engagement among clinicians who work with CKD patients. This quality improvement project used Lewin's force field analysis to analyze driving and restraining forces to help develop and implement strategies to develop an e-learning module. The project used practice-focused questions to determine if knowledge about patient engagement and the Shared End-Stage Renal Patients-Decision Making Tool could improve staff knowledge and awareness about patient engagement. A quantitative pretest, posttest approach was used to compare pretest scores to posttest scores after the e-learning module was viewed. Nine clinicians participated in the project study. Results showed that clinicians' knowledge and awareness about patient engagement increased from a mean pretest score of 5.22 to a mean posttest score of 6.22, (p = 0.08617). The sample of only 9 participants may have contributed to the lack of statistical significance after viewing the educational presentation. The e-learning module will provide positive social change as staff and students of renal programs learn about and apply the principles of patient engagement to their clinical practice.
机译：慢性肾脏病（CKD）是一个全球性的健康问题，需要作出努力来改善受该疾病影响的个体的护理。用于改善医疗保健系统内护理的最新策略是患者参与。护士和其他医疗保健临床医生可以将患者参与度纳入他们的临床实践中，以改善对患者的护理。因此，该项目的目的是增加与CKD患者一起工作的临床医生对患者参与的了解和认识。这个质量改进项目使用Lewin的力场分析来分析驱动力和约束力，以帮助制定和实施策略来开发电子学习模块。该项目使用以实践为中心的问题来确定有关患者参与的知识和“末期肾脏病患者共享决策”工具是否可以提高员工对患者参与的知识和意识。在查看电子学习模块后，使用定量的测试前，测试后方法将测试前的分数与测试后的分数进行比较。九名临床医生参加了该项目研究。结果表明，临床医生对患者参与的了解和认识从测试前的平均得分5.22提高到测试后的平均得分6.22（p = 0.08617）。在查看教育报告后，只有9名参与者的样本可能是由于缺乏统计意义而造成的。电子学习模块将为肾脏计划的教职员工和学生了解患者参与原则并将其应用于临床实践提供积极的社会变革。

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  • 作者

    Simpson, Cheryl J.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.;Health care management.;Health education.;Education.
  • 学位 D.N.P.
  • 年度 2018
  • 页码 105 p.
  • 总页数 105
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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