在综合护理系统中实施和维持痴呆症护理协调员:一个现实的评估
Ruth Abrams1, Johanna Spiers2, Jill Maben2
1School of Health Sciences, Surrey Research Park, University of Surrey, 30 Priestley Road, Guildford, GU2 7YH, UK. r.abrams@surrey.ac.uk.
BMC medicine
|December 19, 2024
概括
痴呆症护理协调员弥合了对痴呆症患者及其照顾者的支持差距,尽管系统有压力. 然而,随着案件数量的不断增加,员工可能会被烧毁,这需要增加对这些重要服务的资金.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 公共卫生政策 公共卫生政策
- 老年人护理管理的管理.
背景情况:
- 全球痴呆症护理因患病率上升和系统压力而面临重大压力.
- 英国政府优先考虑痴呆症护理转型,在综合护理系统 (ICS) 中实施新的支持服务.
- 对于这些新型痴呆症支持服务的运营动态的了解有限.
研究的目的:
- 评估英格兰最大的综合护理系统 (ICS) 中痴呆症护理协调员服务的运作.
- 确定该服务如何影响患有痴呆症的人,他们的护理人员和医疗保健工作人员.
- 了解影响服务效率的机制和背景.
主要方法:
- 从2022年到2024年,使用混合方法进行了现实的评估.
- 数据收集包括对痴呆症护理协调员的重复调查和57次与利益相关方的采访.
- 在所有收集的数据中,分析使用了一个现实的逻辑框架.
主要成果:
- 确定了关键概念:劳动力设计,组织文化,满足患者/护理人员需求和服务整合.
- 23个上下文机制结果配置 (CMOC) 显示协调员充当"桥梁建设者",将个人与支持者联系起来.
- 服务成功的潜力被越来越多的案件和员工倦怠削弱.
结论:
- 痴呆症护理协调员服务有效地支持患者在诊断前和诊断后,即使是在紧张的系统中.
- 积极的影响归因于协调员的"桥梁建设"作用.
- 调查结果支持基于证据的建议,用于实施和维持全系统服务,倡导增加国家资金.
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