混合方法的过程评估预先护理规划干预在养老院工作人员之间的护理计划干预
Joni Gilissen1,2,3,4, Annelien Wendrich-Van Dael1, Chris Gastmans5
1End-of-life Care Research Group, Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Palliative medicine
|October 16, 2024
概括
在ACP+干预改善了养老院工作人员在预先护理规划中的自我效能,但并没有增加他们的知识. 有限的参与强调了需要管理支持和可访问的培训.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 养老院护理服务 养老院护理服务
背景情况:
- 预先护理计划 (ACP) 对于养老院的高质量终身护理至关重要.
- 养老院工作人员需要有效的干预措施来一致实施ACP.
- 该ACP+干预措施是为了支持工作人员提前进行护理规划而制定的.
研究的目的:
- 评估在养老院中ACP+干预措施的实施水平.
- 确定影响机制和影响ACP+有效性的上下文因素.
- 评估养老院工作人员自我效能和有关预先护理计划的知识的变化.
主要方法:
- 在一个集群随机对照试验 (NCT03521206) 中嵌入了过程评估.
- 数据收集包括每周日记,调查,出席记录,设施数据和对32名参与者的采访.
- 用描述性统计和主题分析来分析数据.
主要成果:
- 虽然工作人员重视了ACP+,但只有33%的符合条件的员工参加了培训,设施之间存在很大的差异.
- 一半的养老院调整了干预措施,表明需要灵活性.
- 充足的时间和管理支持对参与至关重要,而时间限制和人员短缺则构成了障碍.
结论:
- 观察到工作人员对ACP+的参与有限.
- 管理层的所有权,明确的角色和协作实践对于成功的养老院ACP至关重要.
- 需要可访问的,持续的培训和实践学习机会,以提高员工对预先护理计划对话的准备.
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