实施长期护理中痴呆症患者的新生活概念:对质量改善过程的评估
Suzanne Portegijs1,2, Adriana Petronella Anna van Beek3, Lilian Huibertina Davida van Tuyl3
1Netherlands Institute for Health Services Research (Nivel), PO Box 1568, 3513 CR, Utrecht, The Netherlands. s.portegijs@nivel.nl.
BMC health services research
|March 8, 2024
概括
创建以养老院为中心的痴呆症友好社区需要强有力的组织支持和与外部利益相关方的合作. 这种方法通过将社区成员纳入护理过程来增强居民的自由和自主权.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 养老院的质量改善是利益相关方的一项持续挑战.
- 过程评估对于理解长期护理中的实施机制至关重要.
- 本研究侧重于一个质量改进项目,旨在建立一个痴呆症友好的社区,其核心是养老院.
研究的目的:
- 调查质量改善倡议的实施过程.
- 确定促进和阻碍机制,以创建一个痴呆症友好的社区,以养老院为中心.
主要方法:
- 采用了案例研究设计,并采用了过程评估的民族学方法.
- 利用定性观察,焦点小组,采访,问卷和文档审查.
- 应用了实施研究的综合框架,用于数据收集和分析.
主要成果:
- 护理人员在增强居民自主权和自由方面发挥着关键作用.
- 持续的组织重点对于日常护理中的高影响力变化至关重要.
- 发展痴呆症友好的社会需要多方参与者的合作和长期的伙伴关系.
- 创造包容性空间,专注于居民和社区成员,有助于过渡.
结论:
- 养老院可以作为社区合作的枢纽,为一个痴呆症友好的社会服务.
- 实施诸如促进居民自主权和重新设计护理流程等变革是复杂的.
- 了解影响机制对于其他组织采取类似举措至关重要.
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