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设置一个复杂的牙科干预的角色替代在养老院的背景:初步过程评估结果
Annie Hendry1, Sarah R Baker2, Gerry McKenna3
1Bangor Institute of Health and Medical Research, Bangor University, Bangor, UK.
角色替代显示了改善养老院居民口腔健康的希望. 了解情境因素,如接受性背景,文化和领导力,对于成功实施这些干预措施至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与社区居住的同龄人相比,在养老院的老年人表现出较差的口腔健康和生活质量.
- 养老院的口腔保健服务往往不足,这给管理带来了挑战.
- 利用牙科治疗师和牙科护士可以解决这个人口中尚未满足的口腔健康需求.
研究的目的:
- 报告SENIOR (uSing rolE-substitutioN 在养老院改善口腔健康) 试验过程评估的初始阶段.
- 探索影响养老院口腔保健角色替代的采用和实施的情境因素.
主要方法:
- 与21个关键利益相关者进行了半结构化访谈,这些关键利益相关者来自依赖性护理机构.
- 卫生服务研究实施促进行动 (PAHRIS) 框架指导了面试问题.
- 对完全转录的采访数据进行了主题分析.
主要成果:
- 三个总体主题出现了:接受性背景,文化和领导力.
- 背景因素显著影响干预交付,作为障碍物和促进者.
- 管理人员面临诸如员工流动,时间限制和财务限制等挑战,但认识到需要改善口腔健康.
结论:
- 角色替代是提高养老院居民口腔健康的潜在解决方案.
- 对上下文因素的全面理解对于有效的干预交付和在养老院成功实施口腔健康策略至关重要.
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