参与家庭初级保健计划的护理人员经验:实用性评估,包括定性访谈和定量调查
Samantha M R Kling1, Anna Sophia Lessios1, Laura M Holdsworth1
1Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
概括
使用老年家庭初级保健 (HBPC) 计划的护理人员感到满意,但负担没有显著变化. 虽然HBPC减少了患者的运输需求,但需要进一步的研究来减少护理人员的压力.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于家庭的初级保健 (HBPC) 计划为在家的老年人提供服务.
- 护理人员的经验和负担是老年护理的关键因素.
- 了解HBPC对护理人员的影响对于计划改进至关重要.
研究的目的:
- 评估老年HBPC计划的第一年内护理人员的经验和负担.
- 从护理人员的角度来看,确定与HBPC相关的压力因素和益处.
- 评估护理人员的满意度和随着时间的推移负担的变化.
主要方法:
- 与17名护理人员进行了定性半结构面试.
- 量化调查测量3,6个月和12个月的护理人员负担和满意度.
- 分析了采访主题和48名护理人员的调查数据.
主要成果:
- 护理人员报告说,他们对HBPC的满意度很高,理由是减少了患者的运输需求和令人满意的初级保健.
- 定性主题包括照顾者的压力因素,依赖HBPC和在家中提供医疗保健.
- 在1年的干预期间,护理人员负担没有显著变化.
结论:
- 老年人HBPC计划被护理人员重视为方便和初级保健提供.
- 尽管对HBPC的满意度很高,但在第一年,HBPC并没有大幅减少护理人员的负担.
- 进一步的研究应侧重于优化HBPC以有效减轻护理人员负担.
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