在事先的护理规划对话中,养老院工作人员的观点:来自APROACHES项目经验
Kathleen T Unroe1, Hillary D Lum2, Susan E Hickman3
1School of Medicine, Indiana University, Indianapolis, IN, USA; IU Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.
Journal of the American Medical Directors Association
|September 17, 2024
概括
养老院的预先护理计划 (ACP) 培训需要改进. 工作人员与APROACHES计划的经验突出了诸如关系建设和痴呆症护理对话中的挑战等好处.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 定性研究是指质量研究.
背景情况:
- 预先护理计划 (ACP) 在养老院至关重要,但面临着不一致的员工培训和计划实施.
- 调整患者偏好 - 一个角色提供阿尔茨海默病患者,护理人员和医疗保健提供者教育和支持 (APPROACHES) 试验旨在增强ACP.
研究的目的:
- 探讨养老院工作人员在APROACHES ACP干预计划中的经验.
- 了解落实结构化ACP方案所感知的影响和挑战.
主要方法:
- 定性研究涉及14名参加APROACHES试验的养老院工作人员.
- 采访进行,转录和编码以确定关键主题.
主要成果:
- 出现了五个主题:项目经验,对话参与,痴呆症考虑,非洲和非洲的好处/挑战以及多人参与.
- 工作人员报告了各种各样的经验,其中包括建立关系和准备的好处,与敏感讨论和安排的挑战形成对比.
- 突出了痴呆症特定的沟通需求,以及非洲和非洲的各种利益相关者的角色.
结论:
- 调查结果为完善APROACHES试验和其他针对养老院环境的非洲国家和地区倡议提供了洞察力.
- 工作人员的经验强调了在不同环境中成功实施非洲和非洲国家和地区计划所需的务实适应能力.
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