辅助生活,住房护理和记忆护理人员水平动态:俄勒冈州,2017-2023年
1Institute on Aging, College of Urban and Public Affairs, Portland State University, Portland, OR, USA.
Journal of the American Medical Directors Association
|November 14, 2024
概括
俄勒冈州的辅助生活和住宿护理 (AL/RC) 人员在流行病后增加. 工作人员水平差异很大,社区之间的差异影响了护理质量.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 辅助生活和住院护理 (AL/RC) 社区为多样化的居民群体提供基本服务.
- 人员水平是AL/RC环境中护理质量和运营效率的关键决定因素.
- 了解AL/RC人员的时间趋势对于应对劳动力挑战和确保居民福祉至关重要.
研究的目的:
- 从2017年到2023年,分析俄勒冈州AL/RC社区的人员配置水平的变化.
- 调查COVID-19大流行对AL/RC设置人员配置模式的影响.
- 确定导致不同AL/RC社区人员配置差异的因素.
主要方法:
- 采用了纵向研究设计,分析了来自535个俄勒冈AL/RC社区的1720个设定年观察结果.
- 数据是通过俄勒冈社区护理 (CBC) 研究收集的,测量每位居民每天的护理人员工作时间.
- 固定效应线性回归模型被用来控制时间不变的社区特征.
主要成果:
- 每位住院居民平均每天工作时间从3小时11分钟到4小时1分钟不等.
- 在大流行期间,占用率大幅下降,从80.3%降至72.2%.
- 与2017年相比,总护理人员水平在2021年增加了19分钟/居民/天,2023年增加了28分钟/居民/天,其中大部分变化归因于社区间的差异.
结论:
- 在AL/RC社区的人员配置水平的显著差异表明,在运营,资源和居民需求方面存在差异,影响了护理质量.
- 疫情后的员工层面和人员组合的变化需要制定政策,以提高AL/RC设置的适应性和弹性.
- 进一步研究人员配置模式与护理结果之间的关系对于提供最佳实践的信息至关重要.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Current Trends in Nursing I
1.4K
Current trends in nursing include:
1.4K
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Specialized Care Centers and Settings-I
934
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
934
Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716


