以人为中心的家庭护理:使用交叉和关键残疾框架探索员工-客户关系
Lauren Spring1,2, Laura Funk3, Kaitlyn Kuryk3
1Nova Scotia Centre on Aging, Mount Saint Vincent University, Halifax, NS, Canada.
概括
在家护理 (HC) 中以人为中心的护理 (PCC) 有利于客户和工人,但由于政策而面临挑战. 需要加强培训和政策变化,以支持HC关系中的灵活性和边界.
科学领域:
- 老年学和卫生服务研究研究
- 质量健康研究 质量健康研究
- 残疾研究和健康的社会决定因素.
背景情况:
- 以人为中心的护理 (PCC) 对接受家庭护理 (HC) 的患有慢性疾病的老年人至关重要.
- 要了解HC员工与客户关系中的PCC细微差别,需要进一步调查.
- 现有的医疗保险政策可能会无意中为灵活和以人际关系为中心的护理创造障碍.
研究的目的:
- 探索以人为中心的护理 (PCC) 在家庭护理 (HC) 工作者-客户关系中是如何实施的.
- 从员工和客户的角度确定与PCC相关的好处和挑战.
- 检查关键残疾和交叉性框架对理解HC中PCC的影响.
主要方法:
- 在三个时间点采用数据收集的定性研究.
- 涉及12名家庭护理 (HC) 工作人员和其他加拿大两个卫生管辖区的利益相关者.
- 利用关键残疾和交叉性框架进行数据分析.
主要成果:
- 发现以人为中心的护理 (PCC) 为HC员工和客户提供了社会和工具上的好处.
- 家庭护理 (HC) 政策在实现灵活性和促进人际关系方面存在困难.
- 医疗保健工作人员确定了风险,并需要区分合理和不合理的客户要求.
结论:
- 建议为HC工作人员提供有关导航灵活性,边界和关系PCC的增强培训.
- 政策调整是必要的,以更好地支持PCC,并保护工人和客户的福祉.
- 以关键残疾和交叉性为基础的PCC的关系式方法对于有效的家庭护理至关重要.
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