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领导层对养老院运营的观点,从危机到控制:一项混合方法研究
Liza L Behrens1, Erin Kitt-Lewis1, Marie Boltz1
1Nese College of Nursing, The Pennsylvania State University, University Park, PA, USA.
Journal of the American Medical Directors Association
|July 11, 2024
概括
养老院领导人面临着在维持高质量的护理和疫情后感染预防和控制 (IPC) 方面的持续挑战. 专注的支持,更新的指导方针和充足的资金对于养老院有效管理资源和人员来说至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 养老院 (NHs) 在提供优质护理方面继续面临重大挑战,即使COVID-19过渡到流行病阶段.
- 减少的资源和疫情的持续影响需要更深入地了解NH领导层的观点.
研究的目的:
- 描述养老院领导层对在资源短缺期间准备和维持优质护理的观点.
- 了解如何最好地支持养老院在COVID-19的流行阶段向前发展.
主要方法:
- 一个横截面,并行融合混合方法研究.
- 分析了来自12个州的5001个国家公路的定量数据和来自15个国家公路领导人的定性数据.
- 数据集成使用了融合分析和联合显示.
主要成果:
- 国家卫生局领导人报告说,居民和工作人员的感染率和资源的可用性与国家趋势保持一致.
- 国家公路在感染预防和控制 (IPC) 方面表现出不同的作战准备.
- 持续面临的挑战包括居民/工作人员接种疫苗,确保供应,个人防护设备的财政资源,人员短缺和隔离做法.
结论:
- 国民公路领导人需要专注的支持,以提供高质量的IPC护理.
- 临床实践指南需要将IPC纳入COVID-19变种在流行阶段的IPC.
- 政策必须支持IPC指标报告,并为长期的财务负担提供足够的资金.
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