Benefits and challenges in use of a standardized symptom assessment instrument in hospice.
Benefits and challenges in use of a standardized symptom assessment instrument in hospice.
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在临终关怀中使用标准化症状评估工具的好处和挑战。
DOI：
10.1089/jpm.2009.0245
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发表时间：
2010
影响因子：
2.8
通讯作者：
Bradley,ElizabethH
中科院分区：
文献类型：
--
作者：
Schulman-Green,Dena;Cherlin,EmilyJ;McCorkle,Ruth;Carlson,MelissaDA;Pace,KarenBeckman;Neigh,Janet;Hennessy,Meliessa;Johnson-Hurzeler,R;Bradley,ElizabethH
背景：临终关怀现在被要求进行常规的质量评估，根据最终的医疗保险临终关怀条件的参与，创造一个机会，探索标准化的方法来监测临终关怀quality.Objective：我们报告临终关怀工作人员的经验，使用标准化的症状评估工具，埃德蒙顿症状评估系统（ESAS），在一项试点研究，旨在开发和测试质量措施的症状管理。使用的ESAS说明了所产生的好处和挑战与标准化的症状评估质量monitoringinhospice.Methods：我们采访了24个人，代表8个收容所参与的全国家庭护理协会与临终关怀质量评估协作，试点测试的ESAS作为一个标准化的数据源质量评估。成绩单进行了分析，使用常数comparative method.Results：参与者报告的好处和挑战与ESAS。好处是ESAS是一个简单易用的工具，可以识别关注的领域，让患者参与症状评估，并监测症状随时间的变化。此外，ESAS被视为经验不足的工作人员的有用教学工具。挑战包括缺乏明确的纳入规则和评估频率;难以解释数字症状评定量表，难以将患者的偏好与症状结合起来，以及感觉使用标准评估工具是“不自然的”。讨论：促进有效使用ESAS数据进行临终关怀质量监测的建议包括标准化实施程序，将患者的偏好添加到ESAS表格中，以及在实施前对工作人员进行教育以提高仪器的舒适度。
Background:Hospices are now mandated to perform routine quality assessment under the final Medicare Hospice Conditions of Participation, creating an opportunity to explore standardized approaches to monitoring hospice quality.Objective:We report hospice staff experiences using a standardized symptom assessment instrument, the Edmonton Symptom Assessment System (ESAS), in a pilot study designed to develop and test quality measures on symptom management. Use of the ESAS illustrates the benefits and challenges arising with standardized symptom assessment for quality monitoring in hospice.Methods:We interviewed 24 individuals representing 8 hospices involved with the National Association for Home Care & Hospice Quality Assessment Collaborative, which pilot tested the ESAS as a source of standardized data for quality assessment. Transcripts were analyzed using the constant comparative method.Results:Participants reported benefits and challenges with the ESAS. Benefits were that the ESAS was a brief and easy tool that identified areas of concern, engaged patients in symptom assessment, and monitored symptom changes over time. Additionally, the ESAS was viewed as a useful teaching tool for less experienced staff. Challenges included lack of clarity about inclusion rules and frequency of assessments; difficulty interpreting the numeric symptom rating scale, difficulty incorporating patient preferences with symptoms, and a sense that the use of standard assessment instruments was “unnatural.”Discussion:Recommendations to promote effective use of ESAS data for quality monitoring of hospice care include standardizing implementation procedures, adding patients' preferences to the ESAS form, and staff education to enhance comfort with the instrument before implementation.
KYT培训与实践医疗安全教育尝试（一）
DOI：
--
发表时间：
2012
期刊：
影响因子：
--
作者：
Mizuno;M;千葉京子;兵藤好美・田中共子
通讯作者：
兵藤好美・田中共子
在癌症患者中使用改良的 ESAS：针对患者和工作人员体验的试点研究。
影响因子：
1
作者：
Kerstin Baba;P. Fransson;J. Lindh
通讯作者：
J. Lindh
影响因子：
3.1
作者：
Watanabe, Sharon;Nekolaichuk, Cheryl;Mawani, Asifa
通讯作者：
Mawani, Asifa