没有地方可去:护理伙伴包容实践与医院环境之间的关系
Catherine Still1, Sydney Hoel2, Andrea Strayer3,4
1Department of Kinesiology, School of Education, University of Wisconsin-Madison, Madison, WI, USA.
HERD
|September 12, 2024
概括
医院环境对生活在痴呆症 (PLWD) 患者的护理伙伴包容有重大影响. 优化物理空间和资源可以改善住院期间护理伙伴的存在和支持.
科学领域:
- 医疗保健设计 医疗保健设计
- 患者体验 患者体验
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 痴呆症患者 (PLWD) 的护理伙伴在住院期间经常感到被排除在外,尽管他们的关键作用.
- 这种排除与既有研究,政策和设计框架相矛盾,这些框架主张护理伙伴参与.
- 卫生系统需要培养积极优先考虑和促进护理伙伴存在的环境.
研究的目的:
- 研究医院物理环境对护理伙伴包容性实践的影响.
- 确定影响PLWD护理合作伙伴纳入的特定环境因素.
主要方法:
- 一个使用多方法方法的描述性定性设计.
- 直接观察是在一个大型学术医院进行的.
- 与PLWD的23名临床医生/管理人员和15名护理合作伙伴进行了采访.
主要成果:
- 观察显示,以家庭为中心的空间和环境沟通工具的利用不足.
- 影响包容性的关键因素包括:充足的空间,房间布局,停车场可用性,房间个性化和舒适性.
- 护理伙伴的包容性与医院的物理环境直接相关.
结论:
- 卫生系统可以改善医院环境,以更好地支持PLWD及其护理合作伙伴.
- 建议包括:提供足够的空间,分配痴呆症友好的停车位,改进沟通工具,增加环境舒适度.
- 创造支持性的物理环境对于系统的护理伙伴包容至关重要.
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