个别定制的复杂干预措施的过程评估,以改善老年养老院居民与联合合同 (JointConEval) 的活动和参与:一种混合方法研究
Regina Thalhammer1,2, Natalie Nguyen2,3, Gabriele Meyer3
1Faculty of Applied Health and Social Sciences, Rosenheim Technical University of Applied Sciences, Hochschulstraße 1, Rosenheim, 83024, Germany.
Trials
|December 19, 2024
概括
实施一个复杂的干预措施,在养老院的联合合同面临着挑战. 组织因素和领导力显著影响了员工的行为和干预的有效性,突出了对上下文分析的需要.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 在养老院的老年人经常因为关节缩而经历活动限制.
- 这是一个复杂的干预措施,旨在通过将生物心理社会方法整合到护理护理中来改善活动和参与.
- 联合ConEval试验评估了这种干预措施,但其有效性需要进一步评估过程.
研究的目的:
- 系统地识别影响复杂干预措施的实施和有效性的因素,用于养老院的联合合同.
- 了解干预交付的障碍和促进因素及其对居民活动和参与的影响.
主要方法:
- 进行了混合方法的过程评估,分析了招聘,实施,影响机制和背景.
- 通过聚焦小组和采访员工,居民和辅导员,收集了定性数据.
- 通过标准化表格和问卷从辅导员和工作人员收集定量数据.
主要成果:
- 干预按计划实施,但对养老院工作人员和住户的不一致接触阻碍了所需的态度和行为改变.
- 促进者的态度与干预措施一致,但组织上的弱点,人员短缺和缺乏领导支持阻碍了成功.
- 关键的影响因素包括组织结构,领导力和员工/管理支持.
结论:
- 复杂的干预的实施受到养老院内的组织和领导因素的影响.
- 在德国长期护理机构的护理工作人员中实现行为变化存在重大挑战.
- 建议对长期护理的复杂干预进行系统的组织上下文分析和提高领导层参与度.
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