摘要
目的 :了解和分析我国二、三级综合医院开展延伸护理服务面临的障碍,为卫生部门及医疗机构制定延伸护理服务相关政策和流程提供参考依据。方法 :通过自设问卷对全国43所综合医院共43位护理管理者和1829名临床护士进行调查。结果 :开展延伸护理服务过程中遇到的主要困难为人力资源不足、缺乏国家政策指导和相关法律法规、收费标准不明确、医院社区联网协作机制不健全、护士能力不足、病人对延伸护理服务认知度低等;护理管理者和临床护士、二级医院和三级医院在开展延伸护理服务中面临的障碍有所不同。结论:延伸护理服务在我国综合医院的开展面临着巨大的挑战,须设立延伸护理岗位、专门机构和跨学科团队,制定科学、标准化的延伸护理服务流程,提高病人及家属对延伸护理服务的认知,并制订相应的法律法规与收费政策,加快建立完善的医院社区双向转诊制度,以保证延伸护理服务的顺利实施。
Objective： To investigate the obstacles of transitional care among secondary and tertiary general hospitals. Methods： A total of 43 nursing managers and 1829 clinical nurses in 43 general hospitals were investigated by a transitional care obstacles questionnaire. Results： The biggest obstacles during transitional care included human resource shortage, lack of national policies, laws and regulations, undefined charging standards, imperfect hospital-community transfer system, ability shortage of nurses and low awareness of patients. Different obstacles were faced between nursing managers and clinical nurses, and between secondary and tertiary hospitals. Conclusion： Great challenges of transitional care existed in hospitals. Hospitals could set up specialized institutions and multidisciplinary teams, formulate standard transitional care procedures, and improve patients＇ and families＇ conceptions of transitional care. Medical organizations could formulate laws, regulations, charging standards and hospital-community transfer system to promote the development of transitional care.
出处
《中国护理管理》
CSCD
2015年第10期1230-1233,共4页
Chinese Nursing Management
基金
中华护理学会2014年度立项科研课题(ZHKY201403)
关键词
医院
延伸护理
障碍
hospital
transitional care
obstacles
