Thực trạng áp dụng mô hình chăm sóc người bệnh toàn diện theo đội tại các khoa lâm sàng hệ nội tại Bệnh viện Trung ương Thái Nguyên năm 2024=Status of implementing the comprehensive patient care by team - based care at the internal clinical departments at Thai Nguyen National Hospital in 2024

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Tác giả: Thị Thuỳ Linh Hoàng, Anh Tú Nguyễn, Văn Giang Nguyễn, Thị Bích Thương Phạm, Thị Loan Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.113-120

Bộ sưu tập: Metadata

ID: 243684

Thêm vào giỏ

Comprehensive patient care meets all the patient's basic needs. Team-based care has been shown to meet all of these needs, but evaluation of the effectiveness of this model's activities by nurses, patients, and family members is limited. Methods: A cross-sectional study was conducted on 340 patients, 245 family members, and 30 times observed and evaluated the performance of team-based care at six internal clinical departments at Thai Nguyen National Hospital. Results: The percentage of nurses who fully grasped the patient and completed a complete clinical assessment was 53,3% and 70%, respectively. The percentage of nurses who can provide nursing assessment, nursing diagnoses, and care interventions is 33,3%, 6,7%, and 6,7%, respectively. The percentage satisfied with the team-based care was 60% among healthcare providers. The percentage of patients being greeted during examination and care and being examined daily is 91,5% and 82,6%, respectively. Over 80% of patients know the name of their nurse. The percentage of patients and family members satisfied with team-based care was 98,2% and 99,2%, respectively. The percentage of family members who know they are a member of the care team and know the names of nurses involved in caring for their family members is 58,8% and 53,9%, respectively. Conclusion: The satisfaction rate of healthcare providers, patients, and family members of the team-based care model is high. However, the prevalence of nurses making clinical assessments and providing nursing diagnosis and care interventions is relatively low. The percentage of patients who know the names of the nurses providing care and know the care issues during the day is still not high. Therefore, training on the nursing process to make a complete assessment, identify appropriate care issues, and provide appropriate nursing diagnostics for clinical nurses is necessary.Khảo sát thực trạng áp dụng Mô hình chăm sóc người bệnh toàn diện theo đội tại các khoa lâm sàng Hệ Nội tại Bệnh viện Trung Ương Thái Nguyên năm 2024. Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang được tiến hành ở 340 người bệnh, 245 người nhà và 30 lần quan sát đánh giá hoạt động của mô hình đội tại 06 khoa lâm sàng hệ Nội, Bệnh viện Trung Ương Thái Nguyên. Kết quả: Tỷ lệ Điều dưỡng nắm vững đầy đủ bệnh nhân và nhận định đầy đủ lâm sàng lần lượt là 53,3% và 70%. Tỷ lệ Điều dưỡng đưa ra được đầy đủ Vấn đề chăm sóc, chẩn đoán chăm sóc và các can thiệp chăm sóc lần lượt là 33,3%, 6,7% và 6,7%. Tỷ lệ Nhân viên y tế hài lòng với mô hình chăm sóc đội là 60%. Tỷ lệ Người bệnh được chào hỏi khi khám, chăm sóc và được thăm khám hàng ngày đạt lần lượt là 91,5% và 82,6%. Có trên 80 % người bệnh biết tên Điều dưỡng chăm sóc cho mình. Tỷ lệ Người bệnh được Giáo dục sức khỏe là 74,1%. Tỷ lệ Người bệnh và người nhà hài lòng với mô hình chăm sóc đội lần lượt là 98,2% và 99,2%. Tỷ lệ người nhà biết mình là thành viên đội chăm sóc và biết tên Điều dưỡng tham gia chăm sóc cho người nhà mình lần lượt là 58,8% và 53,9%. Kết luận: Tỷ lệ hài lòng về của nhân viên y tế, người bệnh và người nhà về hoạt động của mô hình chăm sóc theo đội đạt mức cao.Tuy nhiên, tỷ lệ Điều dưỡng đưa ra nhận định lâm sàng, vấn đề chăm sóc và chẩn đoán chăm sóc chiếm tỷ lệ thấp. Tỷ lệ người bệnh biết tên Điều dưỡng và biết được vấn đề chăm sóc trong ngày còn chiếm tỷ lệ chưa cao. Do đó, việc tập huấn về quy trình chăm sóc để đưa ra nhận định đầy đủ, vấn đề chăm sóc phù hợp và chẩn đoán chăm sóc cho điều dưỡng hệ nội là rất cần thiết.

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