养老院息护理转诊过程,障碍和建议解决方案:一种定性研究
Connie S Cole1, Amy Jackson2, C Robert Bennett3
1University of Colorado School of Medicine, Aurora, CO, USA.
概括
障碍物阻碍了重病养老院居民获得息治疗 (PC) 的机会. 通过教育,查工具和综合服务来简化转诊过程,可以改善护理准入.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 专门的息治疗 (PC) 对重病养老院 (NH) 居民至关重要.
- 现有的障碍阻碍了国家公路中及时和公平地获得基本的PC服务.
- 提交过程的复杂性是PC集成的一个重大障碍.
研究的目的:
- 探索养老院内的息护理转诊过程.
- 确定障碍,并提出解决方案,以改善国家公路中的PC接入.
主要方法:
- 使用快速定性分析进行定性描述性研究.
- 与17名参与者进行了半结构面试.
- 参与者包括六个州的NH工作人员,初级保健提供者和专业PC提供者.
主要成果:
- 一个多步骤的PC转介过程在NHs被概述.
- 确定了PC访问的主要障碍.
- 提出的解决方案集中在教育,选工具和服务集成上.
结论:
- 建议为NH工作人员提供全面的PC教育计划.
- 实施基于证据的PC选工具可以促进早期识别.
- 将PC服务整体整合到NH环境中对于改善居民护理至关重要.
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