养老院老年康复护理和专业间合作;一个基于实践的研究
Hans Drenth1,2,3, Wim Krijnen4,5, Lourens van der Weerd4,5
1Research group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands. j.c.drenth@pl.hanze.nl.
BMC geriatrics
|September 5, 2023
概括
老年人康复护理团队通过培训改善了专业间合作 (IPC),增强了团队动态,减少了住院时间. 持续发展是持续以患者为中心的护理的关键.
科学领域:
- 老年人康复疗法 老年人康复治疗
- 专业间合作 专业间合作
- 医疗保健管理的管理
背景情况:
- 在老年康复护理 (GRC) 中,脆弱性和多病态性普遍存在.
- 最佳的护理需要有效的专业间合作 (IPC),而不仅仅是多专业的方法.
- 本研究侧重于在老年护理组织的GRC团队中开发IPC.
研究的目的:
- 描述GRC团队向专业间协作 (IPC) 的转变.
- 评估跨专业培训计划对GRC工作人员和患者结果的影响.
主要方法:
- 一个为期15个月的混合方法预后研究,涉及跨专业培训 (团队培训,网络研讨会,在线会议).
- 通过扩展专业身份量表 (EPIS) 和快速扫描专业间协作 (QS) 测量收集数据.
- 对多专业团队咨询 (MPC) 会议的观察以及对ADL独立性 (巴特尔指数) 和住院病人的日期的分析.
主要成果:
- 在专业间认同 (EPIS) 和所有专业间协作领域 (QS) 观察到显著的改善.
- 定性分析表明,从多专业到跨专业合作 (IPC) 的转变,患者参与度更好.
- 统计学上显著减少了11.8个住院日,尽管ADL独立性没有显著变化.
结论:
- 实施的培训促进了GRC团队内的IPC转变,改善了患者代表性.
- 虽然ADL独立性保持不变,但住院日数的减少凸显了加强合作带来的效率增长.
- 建立IPC的基础至关重要,需要持续的团队发展和患者参与,以进一步改进.
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