养老院管理人员对领导以人为中心的护理的多层次障碍的描述:内容分析
Annica Backman1, Petra Ahnlund2, Hugo Lövheim3,4
1Department of Nursing, Umeå University, Umeå, Sweden.
International journal of older people nursing
|October 20, 2023
概括
养老院管理人员面临着以人为中心的护理的多层次障碍,包括个人,团队和组织方面的挑战. 克服这些障碍对于改善老年护理机构的护理实践和居民结果至关重要.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 护理科学 护理科学
背景情况:
- 以人为中心的护理 (PCC) 的实施在临床实践中面临着持续的障碍,影响了护理质量和居民的结果.
- 关于养老院管理人员对领导PCC的障碍的观点的理解有限.
- 识别这些障碍对于提高护理服务和居民福祉至关重要.
研究的目的:
- 探索和描述养老院管理人员在领导以人为中心的护理方面遇到的障碍.
- 了解管理人员在培养其设施内以人为中心的环境时面临的挑战.
主要方法:
- 采用了一种描述性的定性研究设计.
- 从高度以人为中心的设施中对12名养老院经理进行了个别采访.
- 用内容分析来分析收集的采访数据.
主要成果:
- 在三个层面上确定了障碍:个人,团队和组织.
- 个人层面的障碍包括优先考虑专业/家庭需求而不是居民需求.
- 团队层面的障碍包括价值观的分歧,员工流动以及基础知识的不足.
- 组织层面的障碍包括财务限制,建筑设计限制和日程表实践.
结论:
- 多层次的障碍严重阻碍了养老院管理人员领导和推进以人为中心的护理的能力.
- 解决个人,团队和组织层面的障碍对于开发以人为中心的实践至关重要.
- 需要多层次的策略来克服复杂性,并促进养老院以人为中心的护理,告知利益相关者和决策者.
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