探索护士在长期护理院预先护理规划中的作用:一项定性研究
Harveer Punia1, Sharon Kaasalainen1, Jenny Ploeg1
1School of Nursing, McMaster University, Hamilton, Canada.
SAGE open nursing
|May 1, 2024
概括
长期护理院的护士在促进预先护理计划 (ACP) 讨论方面面临挑战,原因是角色和权力动态不清楚. 解决这些问题需要政策变化,角色澄清和加强教育,以便更好地进行终身护理沟通.
科学领域:
- 老年学是一门学科.
- 护理 护理 护理
- 医疗保健通讯 医疗保健通讯
背景情况:
- 长期护理院 (LTCH) 越来越多地成为终身护理的场所,需要有效地沟通居民的偏好.
- 提前护理计划 (ACP) 对于确保居民自治至关重要,但沟通缺口仍然存在.
- 护士在促进与居民,家庭和医疗保健提供者进行ACP讨论方面发挥着关键作用.
研究的目的:
- 探索注册护士 (RNs) 和注册实践护士 (RPNs) 经验和对其在LTCH中的ACP讨论中的角色的看法.
- 识别护士的障碍和促进者,让居民和家庭参与事先的护理规划.
主要方法:
- 定性解释性描述性方法.
- 从15名护士 (7名RN,8名RPN) 收集的数据来自两个安大略省南部的LTCH.
- 分析半结构面试和现场笔记,使用常量比较和归纳方法.
主要成果:
- 在LTCH中出现了权力和权威动态的总体主题.
- 其中的子主题包括:护士对自己在ACP中的角色缺乏清晰度和不确定性,在开始讨论时感到不舒服,以及支持家庭的挑战.
- 层次结构和不清晰的角色阻碍了有效的非洲和非洲国家促进工作.
结论:
- 需要制定系统性政策,以支持护士感到安全,并有权进行ACP.
- 重新评估LTCH层次结构和澄清ACP中的跨学科角色是必不可少的.
- 培养以人为中心的文化和提供超越生物医学镜头的持续教育是护士的建议.
- 导师对于管理家庭动态和增强非洲和非洲国家之间的理解至关重要.
相关概念视频
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:19Standards of Care II
642
Nurses bear specific legal responsibilities under several federal statutes, including:
642
01:29Planning Nursing Care II
2.6K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.6K
01:29Documentation in Long-Term and Home Healthcare Setting
884
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
884
01:15Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.2K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.2K