在老年成人护理机构中,与以关系为中心和以任务为中心的餐时间实践相关的特征
Vanessa Trinca1, Sarah A Wu2, Hana Dakkak1
1Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON.
概括
工作人员和养老院的特点影响了餐时间的做法. 了解这些因素是改善养老院中以关系为中心的护理 (RCC) 的关键.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 护理实践 护理实践
背景情况:
- 长期住院的午餐时间护理对住户的幸福感有很大影响.
- 之前的研究表明,需要区分以任务为中心 (TF) 和以关系为中心 (RCC) 的餐时间做法.
- 了解影响这些实践的因素对于质量改善举措至关重要.
研究的目的:
- 识别与以任务为中心 (TF) 和以关系为中心 (RCC) 护理的餐时间实践相关的员工和养老院特点.
- 在COVID-19大流行之前,建立对餐时间护理的基线理解.
- 为提高在护理环境中居民用餐体验的策略提供信息.
主要方法:
- 对686名加拿大和美国养老院的员工进行了一项横截面的在线调查.
- 该调查评估了人们对餐时间护理的看法,包括26种特定的做法,分为TF或RCC.
- 采用多变量线性回归分析来检查员工/家庭特征与餐时间做法之间的关联.
主要成果:
- 较高的TF实践与直接护理人员,餐时间不满,较小的家庭 (≤49张床位) 和不推广RCC的家庭有关.
- 较高的RCC实践与较新的养老院有关.
- 员工年龄显示出不同的关联:40-55岁的人报告了较少的TF实践,而18-39岁的人报告了较少的RCC实践.
结论:
- 养老院的用餐时间实践受到员工相关因素和设施层面因素的重大影响.
- 旨在改善以人际关系为中心的护理 (RCC) 的干预措施应考虑这些已识别的特征.
- 解决员工人口统计,工作满意度和设施属性,可以优化居民的餐时间环境.
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