澳大利亚老年护理评估服务以人为中心的质量指标的发展:一项混合方法研究
Sandra Smith1, Catherine Travers2, Natasha Roberts3,4
1Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
概括
这项研究开发了24个以人为中心的质量指标 (PC-QI),以改善对老年人的老年护理评估. 建议指导服务与患者需求保持一致,提高护理质量.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 老年人对质量的看法对于老年护理服务至关重要.
- 澳大利亚目前的老年护理评估服务需要与以人为中心的原则保持一致.
- 现有的服务提供可能会成为实现最佳质量结果的障碍.
研究的目的:
- 为澳大利亚的老年护理评估服务开发以人为中心的质量指标 (PC-QI).
- 探索拟议的PC-QI在现有组织结构内变化的适应性.
- 确定适应老年护理评估服务的障碍和机会,以更好地满足老年人的质量期望.
主要方法:
- 混合方法研究,包括范围审查,服务元素映射和自决理论的应用.
- 根据老年人的质量领域制定PC-QI,并通过消费者和临床医生咨询进行验证.
- 在焦点组成绩单上使用演性主题方法进行定性数据分析.
主要成果:
- 开发了24个建议的PC-QI,并被老年护理评估人员确认是可以改变的.
- 在员工的知识,沟通,以人为中心的方法,客户的尊重和协作伙伴关系中确定了实施PC-QI的障碍.
- 这些障碍在服务的采用,预订和评估阶段最为突出.
结论:
- 开发的PC-QI为改善老年护理评估服务提供了指导.
- 建议对服务要素进行调整,以更好地与老年人对质量的看法保持一致.
- 将患者和护理人员纳入协议开发过程,确保了相关性和适用性.
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