养老院的组织背景和质量指标:一个微系统的看法
Yinfei Duan1, Matthias Hoben1,2, Yuting Song1,3
1Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
概括
养老院的组织背景会影响护理质量. 更好的结构资源减少了抗精神病药物的使用,而更多的时间松减少了疼痛,这表明有针对性的干预措施可以提高养老院的质量.
科学领域:
- 老年学是一门学科.
- 医疗保健管理健康管理
- 养老院的质量 养老院的质量
背景情况:
- 了解组织背景与护理单位层面的养老院质量之间的联系至关重要.
- 现有的研究往往忽视了临床微系统 (护理单位) 的视角.
研究的目的:
- 检查单位级组织背景与加拿大养老院护理质量指标之间的关联.
- 确定影响护理质量的特定背景因素,在护理单位层面.
主要方法:
- 涉及加拿大91个养老院内的262个护理单位的横截面研究.
- 使用阿尔伯塔语境工具评估的单位级上下文 (护理助理报告).
- 从最低数据集2.0获得的护理质量指标;使用混合效应回归分析.
主要成果:
- 结构性资源与抗精神病药物使用负相关 (B = -.06; p = .001) 和恶化后期损失日常生活活动 (B = -.03, p = .04).
- 时间上的组织松与疼痛恶化负面相关 (B = -.04,p = .01).
- 社会资本与妄想症状 (B = .12,p = .02) 和恶化的抑郁症状 (B = .10,p = .01) 有积极的关联.
结论:
- 单位层面的组织背景显著影响养老院护理质量.
- 针对可修改的上下文元素的干预措施显示出改善护理质量的前景.
- 建议专注于单位级质量改进战略.
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