为无家可归的老年人适应严重疾病对话指南:一项快速定性研究
Abigail Latimer1, Natalie D Pope2, Chin-Yen Lin3
1College of Nursing, University of Kentucky, Lexington, Kentucky, USA. Abbie.latimer@uky.edu.
BMC palliative care
|June 17, 2024
概括
一个严重疾病的对话指南适用于经历无家可归的老年人 (OAEH). 该工具支持医疗保健提供者促进有关OAEH护理偏好的重要讨论.
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.
- 社会工作 社会工作 社会工作
背景情况:
- 经历无家可归的老年人 (OAEH) 面临着加速衰老和过早死亡.
- 有效的严重疾病决策需要将护理与患者价值观保持一致.
- 医疗保健和无家可归服务提供者需要加强沟通工具来进行这些讨论.
研究的目的:
- 适应严重疾病对话指南 (SICG),以便在OAEH有效使用.
- 支持护士,社会工作者和其他提供者促进严重疾病对话.
主要方法:
- 与无家可归者服务提供商进行了半结构化采访.
- 使用SICG与OAEH进行认知访谈.
- 利用快速的定性分析来确定适应主题.
- 包括专家息护理临床医生的反,以改进.
主要成果:
- 调整后的SICG提高了透明度,并促进了OAEH的自主权.
- 调整确保与提供者的实践范围和对分散的医疗保健的敏感性保持一致.
- 确定了培训和实施的关键考虑因素.
结论:
- 调整后的SICG是一个有前途的临床工具,用于与OAEH进行严重疾病对话.
- 建议对在不同环境下实施计划进行进一步的研究.
- 特定设置的调整可能是必要的,以实现最佳的交付.
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