在急性老年医院中为认知障碍患者建立专门护理单位的促进者和障碍:一个过程评估
Laura Adlbrecht1, Melanie Karrer2, Nicole Helfenberger3
1Competence Center Dementia Care, Department of Health, Institute of Applied Nursing Sciences, Eastern Switzerland University of Applied Sciences, Rosenbergstrasse 59, 9000, St.Gallen, Switzerland. laura.adlbrecht@ost.ch.
BMC geriatrics
|January 6, 2024
概括
在医院中实施专门的痴呆症护理单位面临诸如员工流动和工作文化等挑战. 克服这些需要组织发展,延长项目时间表,以及清晰的沟通,以改善患者护理.
科学领域:
- 老年医学 老年医学
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 急性病医院在实施痴呆症护理干预措施方面面临重大挑战.
- 了解特定的促进者和障碍对成功实施干预至关重要.
- 这项研究的重点是急性老年医院的认知障碍患者专科病房.
研究的目的:
- 识别实现跨专业,多元组件干预的促进者和障碍.
- 评估在急性老年病的环境中建立一个专门的痴呆症护理单位的实施情况.
主要方法:
- 作为参与行动研究研究的一部分,进行了过程评估.
- 通过对15名专业人士进行半结构化采访和对12名专业人士组成的两个焦点小组收集的数据.
- 使用库卡茨的内容结构分析方案进行了定性内容分析.
主要成果:
- 关键障碍包括无法控制的环境变化 (例如,COVID-19),员工流动,传统的工作文化和分散的专业间合作.
- 促进者包括一个建立的跨专业文化,一个专门的项目小组,研究合作,以及积极主动,有能力的员工.
- 障碍物和促进者与i-PARIHS框架结构保持一致:背景,接收者,创新和促进.
结论:
- 实施挑战需要一种组织发展方法,更长的项目持续时间和增强的流程导向.
- 战略性,准确和持续的沟通对于成功实施至关重要.
- 解决专业工作文化中的差异对于跨专业角色和流程至关重要.
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