相关实验视频
Updated: Jul 20, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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对养老院工作人员进行的定性研究,他们对事先的护理规划有过体验
Patrick Quail1, Heather Keller2, Vanessa Vucea2
1Department of Family Medicine, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada.
Journal of the American Medical Directors Association
|August 3, 2023
概括
养老院的提前护理计划需要改进. 医疗保健提供者面临着家庭动态,医生参与和医疗危机的挑战,这表明目前的流程对于以居民为中心的终身护理是不够的.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 临床伦理学 临床伦理学
背景情况:
- 预先护理计划 (ACP) 对于在养老院 (NHs) 中以居民为中心的护理至关重要.
- 在国家公路中现有的ACP流程需要大幅改进,以满足居民和家庭的需求.
- 促进ACP讨论对NH环境中的医疗保健提供者提出了独特的挑战.
研究的目的:
- 探索医疗保健提供者在促进预先护理计划 (ACP) 讨论时的实践经验.
- 在养老院环境中,识别在非洲和非洲的发展过程中的障碍和促进者.
- 产生适用于改善ACP在临床实践中的知识.
主要方法:
- 解释性描述方法用于数据分析.
- 与加拿大29个国家公路的27名医疗保健提供者进行了半结构化采访.
- 有目的的抽样确保了NH环境中的各种护理角色的代表性.
主要成果:
- 三个主要主题出现了:与家庭之间的关系紧张,缺乏医生参与 ("医生在哪里? "),以及医疗危机期间的挑战.
- 由于医生参与ACP不足,参与者经历了严重的压力.
- 在居民危机期间遵守护理计划证明是困难的,突出了系统性问题.
结论:
- 目前在养老院的ACP流程对居民,家庭和护理团队来说是不够的.
- 加强医生支持和结构性流程变化对于有效,以居民为中心的终身规划至关重要.
- 解决已识别的挑战可以提高国家公路中ACP的质量和实施.
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