医院中的功能集中护理:一种混合方法可行性研究
Selma Kok1,2, Janneke M de Man-van Ginkel1,2, Carolien Verstraten1
1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht 3584 CX, the Netherlands.
International journal of nursing studies advances
|May 15, 2024
概括
荷兰医院可以实现以功能为中心的医院护理 (FFCiH),尽管存在一些实施挑战. 优化团队参与,护理领导和患者/家庭参与是未来成功的关键.
科学领域:
- 老年学是指老年学的学科.
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 住院患者经常体验到身体活动减少,这是功能衰退的重要危险因素.
- 功能集中护理 (FFC) 是一项基于证据的美国干预措施,旨在通过促进护理期间的活动来预防老年人的功能衰退.
- 医院的功能集中护理 (FFCiH) 是FFC适用于荷兰医院的调整,包括四个关键组成部分.
研究的目的:
- 将FFCiH引入荷兰医院病房.
- 评估FFCiH的可行性,检查其描述,实施,影响机制和背景.
主要方法:
- 在荷兰一家医院的神经病房和老年病房使用混合方法设计.
- 通过聚焦小组,观察,现场笔记,评估表格和参与列表,从56名护士和护理学生收集了数据.
- 该研究描述了实施过程,交付 (剂量,忠实性,适应性,覆盖范围) 和影响机制 (促进者和障碍物).
主要成果:
- 详细介绍了FFCiH,其中96.4%的护士参加了教育课程.
- 护士们对教育的评价很高 (平均为7.5/10),患者档案显示目标设定.
- 促进者包括FFCiH与护士的哲学保持一致;与"教育"和"持续的动机和指导"组成部分相关的障碍.
结论:
- 在荷兰的医院环境中,FFCiH是可行的,尽管存在挑战.
- 优化建议包括强调团队参与,护理领导和患者/家庭参与.
- 本可行性研究为实践中对干预措施的过程评估提供了指导.
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