在综合医疗保健系统中实施和审查护理生态系统
Michael H Rosenbloom1,2,3, Bhavani Kashyap4,5,6, Ana Diaz-Ochoa4
1HealthPartners Center for Memory & Aging, St. Paul, MN, USA. Michael.H.Rosenbloom@HealthPartners.Com.
BMC geriatrics
|August 24, 2023
概括
护理生态系统 (CE) 模型,使用非专业导航员,在非学术环境中被证明是可行的和受欢迎的. 它减少了护理人员的情绪挑战,并改善了支持,尽管痴呆症患者的疾病进展.
科学领域:
- 老年学和衰老研究研究.
- 医疗保健提供模式 医疗保健提供模式
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 加州大学旧金山分校的记忆与衰老中心开发了护理生态系统 (CE) 协作护理模型.
- 这种模式利用了由多学科团队支持的非专业护理团队导航员 (CTNs).
- 该研究评估了CE在非学术医疗保健系统中的可行性,可接受性,采用性和忠诚度.
研究的目的:
- 评估在非学术卫生保健环境中实施护理生态系统 (CE) 模型的可行性.
- 评估护理人员和患者对CE模型的接受度和采用程度.
- 测量CE实现与原始UCSF模型相比的忠实性.
主要方法:
- 成立了一个多学科的CE团队,包括CTN,社会工作者,RN,项目协调员和神经科医生.
- 摄入表格收集了人口统计和临床数据,并在6个月和12个月时进行了护理人员经验调查.
- 用REDCap管理了570个痴呆症患者 (PWD) 和他们的护理人员的数据.
主要成果:
- 虽然PWDs显示疾病进展,护理人员负担和情绪在一年内保持稳定.
- 护理人员报告说,情绪挑战,睡眠问题和获得帮助的困难显著减少.
- 据报道,护理人员满意度很高,86%的护理人员感到他们的CTN支持,88%的护理人员反应很好.
结论:
- 护理生态系统 (CE) 模型是可行的,并且在非学术医疗保健系统中得到了很好的接受.
- 该CE模型有效地支持护理人员,减轻情绪挑战,提高感知响应能力.
- 这项研究证明了学术开发的协作护理模式成功适应社区环境.
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