关键词: Buurtzorg Community care Experience Home care Implementation Nursing Scoping Review Self-management

来  源:   DOI:10.1016/j.ijnsa.2022.100061   PDF(Pubmed)

Abstract:
UNASSIGNED: Buurtzorg is a pioneering healthcare organization founded in the Netherlands. Buurtzorg has established independent, self-managing teams of nurses and promises high-quality home care at a lower cost through person-centered care, continuity of care, building trusting relationships, and networks in the neighborhood. Traditional home care services are increasingly reorganized according to the Buurtzorg-principles.
UNASSIGNED: This review aims to describe the experiences gathered during the implementation of the Buurtzorg-derived model outside the Netherlands. It further outlines their potential effects.
UNASSIGNED: Scoping Review.
UNASSIGNED: Several electronic databases were searched for relevant articles, supplemented by hand-searching and internet searches for gray literature. Various publication types that described the implementation of the Buurtzorg model or its outcomes in countries other than the Netherlands were included. The data were analyzed using qualitative content analysis. Two authors coded the data in several cycles and created categories and subcategories.
UNASSIGNED: The review identified 25 publications reporting the experiences or outcomes of Buurtzorg-derived models outside the Netherlands. Upon implementing elements of Buurtzorg, the home care organizations adopted a person-centered care approach, with improved communication with patients and family caregivers, and could establish new networks with other services. The main challenges were related to the self-managed working culture, the organizational framework, or national healthcare policies, which hindered the implementation process.
UNASSIGNED: The implementation of Buurtzorg-derived models is complex, challenging, and requires adaptations on several levels: upskilling of networking and staffing competencies in teams, leadership and IT requirements in the organization, and policy changes in the healthcare system. Individualized approaches and solid conceptual preparation are required for implementation.
UNASSIGNED: Experiences with the implementation of Buurtzorg in home care services outside the Netherlands. A scoping review @HegeduesAnna.
摘要:
Buurtzorg是一家在荷兰成立的开创性医疗保健组织。Buurtzorg已经建立了独立的,自我管理的护士团队,并承诺通过以人为本的护理以较低的成本提供高质量的家庭护理,护理的连续性,建立信任关系,和附近的网络。传统的家庭护理服务越来越多地根据Buurtzorg原则进行重组。
本评论旨在描述在荷兰以外实施Buurtzorg派生模型期间收集的经验。它进一步概述了它们的潜在影响。
范围审查。
搜索了几个电子数据库以查找相关文章,辅以手工搜索和互联网搜索灰色文献。包括各种出版物类型,描述了Buurtzorg模式的实施或其在荷兰以外国家的成果。采用定性内容分析法对数据进行分析。两位作者在几个周期中对数据进行编码,并创建了类别和子类别。
审查确定了25种出版物,报告了荷兰以外Buurtzorg衍生模型的经验或结果。在实现Buurtzorg的元素时,家庭护理组织采用了以人为本的护理方法,改善与患者和家庭护理人员的沟通,并可以与其他服务建立新的网络。主要挑战与自我管理的工作文化有关,组织框架,或国家医疗政策,这阻碍了实施过程。
Buurtzorg派生模型的实现很复杂,具有挑战性,并需要在几个层面上进行调整:提升团队网络技能和人员配备能力,组织中的领导力和IT要求,以及医疗保健系统的政策变化。实施需要个性化的方法和坚实的概念准备。
在荷兰以外的家庭护理服务中实施Buurtzorg的经验。范围审查@HegeduesAnna。
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