探索在智力障碍患者医院实施合理调整:使用现实主义镜头
Mairead Moloney1, Laurence Taggart2, Therese Hennessy1,3
1Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Journal of advanced nursing
|October 24, 2024
概括
为了在医院为智力残疾人实施合理的调整,需要采取系统层面的方法,而不仅仅是个别案件. 加强医院政策和员工培训是公平,以人为中心的护理的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 智力障碍 医疗保健 医疗保健
- 实施科学 实施科学
背景情况:
- 智力障碍者在急性医院环境中面临健康不平等和差异.
- 合理的调整对于提供以人为中心的护理至关重要,但它们的实施是不一致的.
- 现实主义的镜头和复杂干预的背景和实施 (CICI) 框架被用来理解实施因素.
研究的目的:
- 探索影响在医院对智力障碍患者实施合理调整的因素.
- 确定系统层面的指标,以成功实施合理调整.
主要方法:
- 使用现实主义镜头进行定性研究.
- 通过焦点小组和与医疗保健专业人员的半结构面试收集的数据.
- 分析使用了定性内容分析,映射到CICI框架 (上下文,实施,设置).
主要成果:
- 医疗保健专业人员支持合理的调整作为以人为中心的方法.
- 实施主要是在个人层面,缺乏系统层面的战略整合.
- 环境 (流行病学,社会文化,政治,伦理) 和实施 (战略,代理人,结果) 的因素影响实践.
结论:
- 需要彻底改变,从个人层面转向系统层面,在急性病医院实施合理的调整.
- 系统级指标包括具体政策,综合护理途径,员工培训和领导力策略.
- 这项研究为进一步实施关于智力障碍者合理调整的研究提供了基础.
关键词:
急性病的医院急性病的医院语境 语境 语境 语境 语境实施实施实施实施实施.智力障碍 智力障碍是一种智力障碍.护理 护理 护理现实主义 现实主义现实主义的镜头镜头进行合理的调整.设置 设置 设置 设置 设置更多相关视频
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