在初级保健实践中的结构能力,即护士从业人员照顾患有痴呆症的人
Vaneh E Hovsepian1,2, Jianfang Liu2, Amelia E Schlak3
1School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
International journal of older people nursing
|July 11, 2023
概括
许多初级保健实践缺乏最佳痴呆症护理的基本结构能力. 大量的痴呆症患者实践显示社区融合程度较低,突出显示需要改善基础设施.
科学领域:
- 老年学是一门学科.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健的结构能力,包括电子健康记录,护理协调,社区整合和提醒系统,对于解决痴呆症患者 (PLWD) 复杂需求至关重要.
- 执业护士 (NPs) 在初级保健机构内为PLWD提供护理方面发挥着重要作用.
研究的目的:
- 描述初级保健实践中存在的结构能力,即国家医疗机构为PLWD提供护理.
- 为了比较这些结构能力的可用性,在实践中,高与低量的PLWD.
主要方法:
- 来自加利福尼亚州259个实践中的293个NP的横截面数据的二次分析.
- 使用后勤回归模型来评估PLWD体积与结构能力存在之间的关联.
主要成果:
- 96%的诊所报告有电子健康记录,61%的诊所报告有社区整合,65%的诊所报告有提醒系统,35%的诊所报告有护理协调.
- 管理大量PLWD的实践发现,与管理大量PLWD的实践相比,社区整合的可能性较低.
结论:
- 许多服务于PLWD的诊所缺乏提供高质量的痴呆症护理所需的基本基础设施.
- 实践经理和管理人员应优先实施基本的结构能力,以更好地满足PLWD的多方面的需求.
- 这些发现可以指导临床医生和实践管理人员改善痴呆症护理.
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