概括
直接护理工作者 (DCWs) 需要更好地培训做-不-住院 (DNH) 命令. 获得有息护理经验的护士可以改善居民的终身决策.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健决策 - - 医疗保健决策
背景情况:
- 直接护理工作者 (DCWs) 经常管理住院居民的不入院 (DNH) 命令.
- 了解DCW观点对于开发有效的干预措施至关重要.
- 目前的终身护理方法可能过于简单.
研究的目的:
- 收集定性数据以进行旨在防止DNH订单居民不必要住院的干预.
- 了解DCWs关于DNH订单的决策过程.
主要方法:
- 这是一项涉及8名参与者的定性研究.
- 使用描述性调查,然后进行半结构面试.
主要成果:
- DCWs 显示不熟悉 DNH 的命令.
- 终身护理的观点往往是二进制的 (临终医院与医院) 和协议驱动的.
- 支持的领导力帮助DCW在复杂的决策中;RN可用性产生了混合的结果.
结论:
- 在管理DNH订单的住户时,DCW可以从具有息护理专业知识的咨询护士中受益.
- 干预措施应解决DCW知识差距,并提供增强的支持系统.
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