Đánh giá hiệu quả áp dụng mô hình chăm sóc theo đội tại Bệnh viện Đa khoa tỉnh Cao Bằng năm 2024=Evaluation of the implementing the team-based caring model at Cao Bang general Hospital in 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Ngọc Nhung Bế, Văn Hoan Hà, Văn Giang Nguyễn, Thị Bích Ngọc Nông, Thị Cúc Nông, Thúy Nga Nông

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.135-145

Bộ sưu tập: Metadata

ID: 486055

Thêm vào giỏ

Mục tiêu: Đánh giá hiệu quả áp dụng mô hình chăm sóc đội tại Bệnh viện Đa khoa tỉnh Cao Bằng. Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang được thực hiện trên 277 người bệnh và 87 nhân viên y tế tại 2 khoa lâm sàng thuộc Bệnh viện đa khoa tỉnh Cao Bằng từ tháng 6 đến tháng 8/2024. Kết quả: Tỷ lệ nhân viên y tế nhận xét, đánh giá việc áp dụng mô hình chăm sóc theo đội hợp lý chiếm 93,4% và trên 96 % hài lòng với hoạt động chăm sóc theo đội. Tuy nhiên tỷ lệ nhân viên y tế chưa nắm được tình trạng người để báo cáo trước đội, chưa nắm được nguy cơ, biến chứng của người bệnh chiếm gần 60%. Mức độ rất tự tin của nhân viên y tế tham gia mô hình chăm sóc đội tỷ lệ thấp chiếm 8%. Có 98% bác sĩ không tham gia góp ý khi tham gia theo đội, 96% chỉ đọc tên người bệnh qua giao tiếp khi đi buồng. Còn gần28 % người bệnh chưa được tư vấn đầy đủ quy chế, nghĩa vụ, trật tự buồng bệnh. Trên 90% người bệnh hài lòng với mô hình đội. Kết luận: Kết quả nghiên cứu tỷ lệ nhân viên y tế nhận xét, đánh giá việc áp dụng mô hình chăm sóc theo đội là hợp lý đồng thời đánh giá và nhận xét tốt về mô hình. Bệnh nhân hài lòng với hoạt động chăm sóc theo đội. Tuy nhiên việc hoạt động của mô hình chăm sóc này giữa nhân viên y tế và bệnh nhân là chưa đồng nhất. Việc cải tiến về mô hình chăm sóc này là rất cần thiết. Bệnh viện cần có kế hoạch để tập huấn và thống nhất về kiến thức và thực hành giữa bác sĩ và điều dưỡng khi tham gia mô hình nàyObjective: To survey the current status of implementing the team-based caring model at Cao Bang General Hospital and propose some solutions to improve the quality of care. Methods: A cross-sectional description conducted on 277 patients and 87 healthcare providers at Cao Bang General Hospital in 2024. Results: The results show that the proportion of medical staff who commented and evaluated the application of the team care model was reasonable acout for 93,4 and above 90 % satisfied about this model. Patients were satisfied with the team-care activities. However, the proportion of medical staff who did not understand the patient’s condition to report to the team did not understand the risks and complications of the patient. The level of confidence of medical staff participating in the team care model was low (8%). About 98% of doctors did not give comments to the team
96% only read the patient’s name through communication when going to the ward. 20.9 to 28% of patients have not been fully advised on regulations, obligations, and ward order. Conclusion: The proportion of medical staff who commented and evaluated the application of the team care model is reasonable and, at the same time, evaluated and commented positively on the model. Patients are satisfied with this activities. However, the operation of this model among medical staff and patients is not consistent. Improvements in this care model are very necessary. Hospitals need to have a plan to train and unify knowledge and practice between doctors and nurses when participating in this model.

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