对长期护理家庭检查报告和响应性行为的分析
Lorna de Witt1, Stephanie Jonsson2, Roger Reka3
1Faculty of Nursing, University of Windsor, 401 Sunset Avenue, Windsor, ON Canada.
Ageing international
|June 26, 2023
概括
长期护理法规努力解决居民对居民的侵略问题. 当前的检查报告不充分记录响应行为,导致执法行动不足,影响居民安全.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共政策 公共政策
背景情况:
- 住宅长期护理的质量和安全是国际关注的焦点,媒体报道经常强调居民的侵略行为.
- 鉴于这些事件,现有的长期护理法规和检查标准受到质疑.
研究的目的:
- 通过公共检查报告,分析了安大略省长期护理院记录的响应性行为事件.
- 识别关于响应性行为的营利性和非营利性设施之间的文档和执法方面的差异.
主要方法:
- 参与行动研究和对535份安大略省长期护理家庭检查报告 (2016-2018) 的文档分析.
- 为七个长期护理服务领域开发数据收集和分析工具.
- 记录的事件和执法行动的描述性统计分析.
主要成果:
- 营利性和非营利性家庭之间在响应行为,投诉/事件比例和执法行动的记录方面发现了显著的差异.
- 与响应性行为相关的事件经常被分类为不同的立法部分,掩盖了直接的监管监督.
- 大多数执法行动都缺乏检查员的后续行动,在三年内,仅有四个因响应性行为相关问题而发出处罚.
结论:
- 目前安大略省的长期护理检查和监管框架没有充分解决或跟踪响应性行为.
- 建议修订检查报告判断矩阵,以特别解决响应性行为.
- 改善监管与响应性行为护理管理的联系对于提高居民安全和护理质量至关重要.
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