独自在家或连接:护理人员的沟通和卫生服务提供者的培训
Rebecca J Howe1, Janice F Bell1, Alicia Agnoli1
1University of California, Davis, Sacramento, California, USA.
Journal of the American Geriatrics Society
|November 25, 2023
概括
执行医疗任务或使用患者门户的家庭护理人员更有可能联系医疗保健提供者. 然而,护理人员的整体沟通和培训仍然有限,这凸显了需要更好地融入护理团队的需要.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 护理正在转移到社区环境中,增加了家庭护理人员在支持有复杂医疗需求的老年人方面的作用.
- 技术的进步,如在线患者门户网站,为沟通和护理提供提供了新的途径.
- 这项研究解决了越来越需要了解护理人员在医疗保健中的参与.
研究的目的:
- 评估家庭护理人员执行医疗/护理任务或使用在线患者门户和他们的联系,沟通和医疗保健提供者的培训之间的联系.
- 确定影响医疗保健提供者与家庭护理人员接触的因素.
主要方法:
- 来自2021年国家护理研究 (NSOC) 与国家健康和衰老趋势研究 (NHATS) 相关的数据的横截面分析.
- 使用后勤回归来检查护理人员医疗/护理任务或患者门户使用与医疗团队接收的沟通/培训之间的关系.
- 这项研究包括1590名社区老年人的护理人员.
主要成果:
- 执行医疗/护理任务 (OR=3.10) 或使用患者门户 (OR=3.28) 的护理人员与老年人的医疗团队联系的几率明显更高.
- 超过一半 (54%) 的护理人员在过去一年中没有与医疗团队联系.
- 沟通往往被认为没有帮助 (30%),大多数护理人员很少从提供者那里获得帮助 (67%) 或培训 (6%).
结论:
- 无论是执行医疗任务还是使用患者门户网站,都与与医疗保健提供者的联系增加有关.
- 尽管技术进步,但护理人员融入卫生团队和他们的培训需求需要显著改进.
- 加强支持和评估对于有效地将家庭护理人员纳入医疗保健系统至关重要.
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