实施以个人为中心的护理工具可以减少投诉吗? 在俄俄州养老院实施PELI的证据
Miranda C Kunkel1, John R Bowblis2,3, Jane Straker2
1Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
Journal of aging & social policy
|October 5, 2023
概括
在养老院实施以人为中心的护理 (PCC) 工具,如日常生活库存 (PELI) 的偏好,大大减少了居民的投诉. 与部分使用相比,完全实施PELI导致投诉较少和不太有根据.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 患者护理质量 患者护理质量
背景情况:
- 养老院的投诉往往源于实际和所需的居民护理之间的断开.
- 以人为中心的护理 (PCC) 和尊重居民偏好是缓解这些问题的潜在策略.
研究的目的:
- 调查PCC工具的实施,即日常生活偏好清单 (PELI) 和养老院投诉指标之间的关系.
- 确定不同程度的PELI实施是否会影响居民投诉的频率和依据.
主要方法:
- 利用来自俄俄州1,339个养老院年度观察的公开数据.
- 员工回归分析以评估PELI实施程度与投诉结果 (任何投诉,投诉数量,有根据的投诉) 之间的关联.
主要成果:
- 完全实施PELI与与部分实施相比,任何投诉的4.7%点下降 (P < .05) 和任何有根据的投诉的11.5%点下降 (P < .001).
- 完全实施PELI的养老院报告说,总体上投诉较少,投诉有根据的可能性较低.
结论:
- 充分实施PELI工具与减少养老院投诉的发生和严重程度有关.
- 虽然不能完全消除投诉,但全面采用PCC工具,如PELI可以提高护理质量和居民满意度.
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