探索以人为中心的护理实施程度与俄俄州养老院的员工数量之间的关系
Miranda C Kunkel1, John R Bowblis2,3, Jane K Straker2
1Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
概括
在养老院实施以人为中心的护理 (PCC) 的日常生活库存偏好 (PELI) 与增加护理人员有关. 完全采用PELI与更高的人员水平相关,特别是在非营利性设施.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 养老院管理局的管理.
背景情况:
- "日常生活偏好清单" (PELI) 是一个旨在在以人为中心的护理 (PCC) 框架内识别和尊重老年人的偏好的工具.
- 在养老院 (NHs) 实施PCC往往需要增加资源,特别是员工的时间.
- 了解PELI实施与NH人员配置之间的关系对于有效的资源分配至关重要.
研究的目的:
- 调查PELI实施水平 (完全与部分) 与俄俄州养老院的护理人员人数水平之间的关联.
- 确定养老院所有权 (营利性与非营利性) 是否影响PELI实施和人员配置之间的关系.
主要方法:
- 使用NH年作为观察单位 (n = 1307) 的定量分析.
- 我们检查了2015年和2017年俄俄州养老院的数据.
- 各种职位和护理人员总人数的员工数量 (每居民一天的小时数) 与完全或部分PELI实施相关.
主要成果:
- 完全实施PELI与营利性和非营利性机构的护理人员水平更高有关.
- 与营利性设施相比,非营利性设施的护理人员总人数水平更高 (0.16小时 vs 0.09小时/居民日).
- 与PELI实施相关的特定类型的护理人员因设施所有权而异.
结论:
- 通过像PELI这样的工具来支持PCC的全面实施,需要足够的护理人员,并可能增加护理人员.
- 养老院所有权在与PCC实施有关的人员配置模式中发挥着作用.
- 专注于人员配置的综合战略对于成功地将PCC整合到养老院至关重要.
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