家庭和社区服务的护理人员特定质量措施:环境扫描和利益相关者的优先事项
Polly Hitchcock Noël1,2,3, Lauren S Penney4, Erin P Finley3
1Department of Veterans Affairs Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, San Antonio, Texas, USA.
Journal of the American Geriatrics Society
|July 31, 2024
概括
在家庭和社区服务 (HCBS) 的质量评估中,家庭护理人员的优先级往往缺失. 整合这些观点可以提高对弱势成年人及其照顾者的护理质量和支持.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 护理人员支持护理人员支持
背景情况:
- 家庭护理人员在使弱势成年人能够生活在社区中发挥着至关重要的作用.
- 目前对家庭和社区服务 (HCBS) 的质量评估往往忽视了护理人员的优先事项和观点.
- 这种差距阻碍了对HCBS的全面监测和改进.
研究的目的:
- 确定HCBS关于家庭护理人员的质量评估中的测量差距.
- 引导制定更好的监测和提高HCBS质量战略.
- 确保护理人员的观点融入服务评估中.
主要方法:
- 一个多层次的利益相关者参与过程,涉及四个VA医疗保健系统的退伍军人,护理人员和医疗保健专业人员.
- 环境扫描以确定HCBS的国家质量测量套件.
- 将利益相关者识别的护理人员测量优先级映射到现有的国家HCBS质量测量集中.
主要成果:
- 只有很小一部分经过审查的HCBS措施集 (5/11非VA,3/4VA) 包含了与利益相关方优先事项相关的护理人员特定项目.
- 在14个确定的护理人员优先事项中,有6个没有反映在任何一组审查的措施中.
- 关键的缺失领域包括护理人员报告的与支持其护理角色的服务的经验.
结论:
- 现有的HCBS质量措施不充分纳入家庭护理人员的优先事项和经验.
- 显著需要采取措施,承认和整合护理人员的角色和观点.
- 制定此类措施对于提高HCBS质量和支持长期社区生活的护理接受者至关重要.
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