老年护理机构居民的偏好和终身护理:一项混合方法研究
Moberley Sarah1,2,3, Hewitt Jacqui4, Attia John4,5,6
1Department of Palliative Care, Calvary Mater Newcastle, Newcastle, NSW, Australia. Sarah.Moberley@health.nsw.gov.au.
BMC palliative care
|September 1, 2023
概括
大多数老年护理居民更喜欢在他们的设施里死去. 综合性息护理和改善家庭沟通是确保终身护理符合居民愿望的关键.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 住宅老年护理设施是终身护理的常见设置.
- 关于老年护理居民首选的终身护理地点的证据有限.
- 这影响了老年护理机构的护理提供和质量评估.
研究的目的:
- 确定居民对终身护理地点的偏好.
- 评估在老年护理机构提供终身护理的现状.
- 确定与居民愿望相一致的护理提供的推动因素和障碍.
主要方法:
- 与澳大利亚新南威尔士州的六个老年护理机构合作.
- 回顾性医疗记录审查 (n=234) 对于终身护理质量的审计.
- 对急救部门转移的分析和对障碍/支持者的定性采访.
主要成果:
- 96.7%的居民如果健康状况下降,宁愿留在他们的老年护理机构.
- 拥有综合护士执业人员的设施显示,急诊转移率较低,症状管理更好.
- 家庭决策显著影响了死亡地点,影响了患者的偏好.
结论:
- 老年护理设施需要通过综合性息护理提供现场终身护理的支持.
- 教育和沟通策略对于使护理与居民偏好保持一致至关重要.
- 在临床进步的同时,社区健康素养和家庭支持至关重要.
相关概念视频
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Documentation in Long-Term and Home Healthcare Setting
916
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
916
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Nursing Ethical Principles II
1.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.0K
Standards of Care II
677
Nurses bear specific legal responsibilities under several federal statutes, including:
677


