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高绩效的个人支持工作者在提供护理时如何设定和维护边界:加拿大安大略省的一个案例研究
Elizabeth A Kalles1,2, Emily C King2,3, Paul Holyoke1
1SE Research Centre, SE Health, Markham, ON, Canada.
概括
个人支持工作者 (PSWs) 在家庭护理中跨越专业界限. 这项研究制定了一个框架,以帮助PSW管理客户互动,并保持安全,有效的护理服务.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 社会工作 社会工作 社会工作
背景情况:
- 在加拿大,个人支持工作者 (PSW) 对家庭护理至关重要.
- 服务员有效的边界管理对于客户和工人的安全至关重要.
- 目前对PSW边界管理策略的理解是有限的.
研究的目的:
- 确定PSW边界管理的现场测试策略.
- 开发一个框架来识别,管理和支持PSW边界.
- 为PSW提供教育和实践材料.
主要方法:
- 在工作坊 (n=3) 中,聘请了高绩效的PSW (n=9) 和监督员 (n=4).
- 利用定性方法来确定边界挑战,原则,战略和战术.
- 开发了一个全面的边界管理框架.
主要成果:
- 确定了共同的边界挑战和决策原则 (例如,护理目的).
- 概述了应对策略 (例如,协作解决问题) 和行动策略 (例如,主动提醒).
- 强调监督和组织支持的重要性 (例如",商场谈话").
结论:
- 所生成的框架为PSW提供了实际指导.
- 该框架可以提高家庭护理的安全性和质量.
- 这项研究为改善全球PSW培训和实践提供了基础.
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