实施多学科专家团队方法,减少智障护理中的非自愿护理:多方法研究评估适应性和有效性
Esther Bisschops1, Lianne Bakkum1, J Clasien de Schipper1
1Faculty of Behaviour and Movement Sciences, Section of Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Journal of intellectual disabilities : JOID
|December 10, 2024
概括
适应多学科专业团队 (MDET) 方法用于智力障碍护理的做法显示了多样化的实施. 这些调整可能降低了它在减少非自愿照顾方面的有效性.
科学领域:
- 智力障碍者护理 智力障碍者护理
- 心理健康服务 心理健康服务
- 医疗保健管理的管理
背景情况:
- 在智力障碍者设置中的非自愿照顾存在道德和实际挑战.
- 多学科专家团队 (MDET) 方法在减少非自愿护理方面之前已经证明了其有效性.
- 了解实施变化对于成功扩展干预措施至关重要.
研究的目的:
- 调查四个组织在实施过程中如何调整MDET方法.
- 评估这些适应的MDET版本在减少非自愿照顾方面的有效性.
- 为了比较MDET实施与常规护理 (CAU) 的影响.
主要方法:
- 用MDET协调员进行的半结构面试的定性分析,使用报告框架调整和修改-扩展.
- 准实验性的中断时间序列设计,用于分析每周的非自愿护理记录.
- 24个实施MDET的养老院和接受CAU的养老院之间的比较.
主要成果:
- 在各个组织中观察到对MDET方法的显著适应.
- 常见的调整包括省略独立的MDET团队和修改非自愿护理记录协议.
- 在MDET实施和CAU组之间没有发现非自愿护理记录的显著差异.
结论:
- 在扩大MDET方法的过程中做出的调整可能减少了它对减少非自愿护理的积极影响.
- 实施忠实性对于保持智力障碍护理干预措施的有效性至关重要.
- 需要进一步的研究,以优化MDET的实施策略,以适应不同的组织环境.
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