概念混乱:障碍多专业参与预先护理计划在养老院的障碍 - - 一个民族学研究
Nicola Andrews1, Michelle Myall1
1School of Health Sciences, University of Southampton, Southampton, UK.
Journal of palliative care
|December 18, 2024
概括
养老院的提前护理规划 (ACP) 面临着挑战,原因是专业人士对生物医学问题的理解和优先考虑不同,而不是居民的愿望. 这限制了有效的多专业协作和以人为中心的护理.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 英国养老院的预先护理计划 (ACP) 通常依赖于外部专业人士.
- 了解在养老院中多专业的协作ACP是有限的.
研究的目的:
- 检查影响多专业参与养老院ACP的因素.
- 探讨多专业人士在养老院中对ACP进程的工作影响.
主要方法:
- 民族学方法包括观察,采访和文档审查.
- 36名参与者:居民,亲属,养老院工作人员和访问专业人士.
- 综合主题分析,非洲和非洲国家发展轨迹绘制和政策分析.
主要成果:
- 居民和专业人士对ACP的概念混乱和不同的理解.
- 专业人士优先考虑生物医学问题,往往与居民优先事项和更广泛的政策定义不一致.
- 由于专业重点和缺乏共同理解,制定整体的ACP存在困难.
结论:
- 缺乏对ACP的共同理解,阻碍了在养老院有效的多专业工作.
- 在生物医学方面,ACP的专业框架限制了对居民的以人为中心的护理.
- 改善合作需要解决概念上的差异,并整合居民的优先事项.
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