关键词: Experience-based co-design Healthcare transition Nurse-led change Patient and public involvement Quality Improvement Young people

Mesh : Humans Quality Improvement Adolescent Neoplasms / therapy nursing Young Adult Transition to Adult Care / organization & administration standards State Medicine / organization & administration United Kingdom

来  源:   DOI:10.12968/bjon.2023.0146

Abstract:
UNASSIGNED: Young people receiving cancer treatment in the South Thames Children\'s, Teenagers\' and Young Adults\' Cancer Operational Delivery Network usually receive care across two or more NHS trusts, meaning transition into adult services can be challenging.
UNASSIGNED: To develop a planned, co-ordinated approach to transition across the network that meets National Institute for Health and Care Excellence guidance recommendations for transition and the cancer service specifications.
UNASSIGNED: A 2-year, nurse-led quality improvement (QI) project, using the principles of experience-based co-design.
UNASSIGNED: The QI project resulted in the development of six key principles of practice; refining and testing of a benchmarking tool; initiatives to facilitate first transition conversations; and the launch of an information hub.
UNASSIGNED: Robust QI processes, cross-network collaboration and wide stakeholder involvement required significant resource, but enabled deeper understanding of existing pathways and processes, facilitated the establishment of meaningful objectives, and enabled the testing of interventions to ensure the project outcomes met the needs of all stakeholders.
摘要:
在南泰晤士河儿童医院接受癌症治疗的年轻人,青少年和年轻人癌症运营交付网络通常会通过两个或多个NHS信托获得护理,这意味着过渡到成人服务可能是具有挑战性的。
要制定计划,通过网络进行过渡的协调方法,符合国家健康与护理卓越研究所的过渡指导建议和癌症服务规范。
两年期,以护士为主导的质量改进(QI)项目,使用基于经验的协同设计原则。
QI项目导致了六个关键实践原则的发展;基准测试工具的完善和测试;促进首次过渡对话的举措;以及信息中心的启动。
稳健的QI过程,跨网络协作和广泛的利益相关者参与需要大量资源,但能够更深入地了解现有的途径和过程,促进建立有意义的目标,并能够对干预措施进行测试,以确保项目结果满足所有利益相关者的需求。
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