在冠状病毒流行期间参与开发和实施痴呆症护理途径,在急性护理中使用干预捆绑:一个过程评估研究
Heidi Petry1, Jutta Ernst1, Rahel Naef1,2
1Centre of Clinical Nursing Science, University Hospital Zurich, Zurich, Switzerland.
Journal of clinical nursing
|June 15, 2023
概括
在医院实施痴呆症护理途径面临着重大的组织障碍,尽管员工技能适度,接受度高. 未来的努力需要解决这些系统性问题,以有效地整合痴呆症护理.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 老年医疗护理 医疗护理
背景情况:
- 由于背景因素,急性环境中的痴呆症护理存在挑战.
- 开发了一种基于证据的痴呆症护理途径,包括干预包,以赋予员工权力,提高创伤病房的护理质量.
研究的目的:
- 在急性护理环境中探索痴呆症护理途径的实施过程.
- 评估员工对痴呆症护理技能的看法以及在实施前后提供基于证据的干预措施.
主要方法:
- 通过使用定量和定性方法进行了过程评估.
- 调查评估了员工技能和基于证据的护理水平在实施前和之后.
- 与冠军的焦点小组采访探讨了可接受性,适当性和可行性,使用描述性统计数据和内容分析进行分析,并以实施研究综合框架 (CFIR) 为指导.
主要成果:
- 在实施前,工作人员报告了中度痴呆症护理技能,在建立关系和维持人格方面表现出色.
- 基于证据的干预措施不一致,其中"个性化护理"得分最低",评估认知"得分最高.
- 由于疫情和重大组织/流程障碍,实施受到阻碍;由于复杂性和兼容性问题,接受度很高,但可行性很低.
结论:
- 组织和流程因素对在急性环境中成功实施痴呆症护理途径具有重要影响.
- 未来的实施战略必须整合实施科学和痴呆症护理研究的见解,以实现有效的整合和流程改进.
- 这项研究为改善痴呆症患者及其家属医院护理提供了宝贵的教训.
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