支持有认知障碍的老年住院患者参与医院中预防跌倒的互动:一个民族学研究
Lynn Mcvey1,2, Natasha Alvarado1,2, Hadar Zaman3
1Centre for Digital Innovations in Health and Social Care, Faculty of Health Studies, University of Bradford, Bradford, UK.
Journal of clinical nursing
|January 19, 2024
概括
患有认知障碍的老年患者可以通过个性化的员工互动参与预防跌倒. 这种合作,涉及家庭和参与工作人员,提高了患者的安全和表达需求.
科学领域:
- 老年学是一门学科.
- 患者安全 患者安全
- 医疗保健通讯 医疗保健通讯
背景情况:
- 患有认知障碍的老年住院患者在与医疗保健工作人员就预防跌倒问题进行接触时面临挑战.
- 有效的沟通和个性化互动对于患者的安全和医院环境中的合作至关重要.
研究的目的:
- 探索互动的性质,使老年住院患者有认知障碍与医院工作人员在预防跌倒方面进行互动.
- 确定关键的员工素质和互动策略,以促进患者参与预防跌倒.
主要方法:
- 一项涉及251.25小时医院病房观察的民族学研究.
- 与50名工作人员,28名患者和3名护理人员进行了半结构化的定性访谈.
- 使用框架方法分析发现.
主要成果:
- 促使预防跌倒的互动往往是非正式的和个性化的.
- 工作人员的同情心,谈判技巧和考虑患者观点至关重要.
- 家庭/护理人员和参与工作人员在促进与护士的沟通方面发挥了重要作用,特别是当护士时间有限时.
结论:
- 患有认知障碍的老年住院患者可以参与预防跌倒的活动,使他们能够表达需求并协作.
- 建议更广泛地采用参与工作人员,并为面对患者的员工提供关系技能培训.
- 包括家庭和非护理人员在内的多学科参与可以提高患者的安全性并减少护理工作量.
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