[德国住院护理:社会和政治话语的定性内容分析]
Adele Grenz1, Mark Schweda2, Milena von Kutzleben1
1Abteilung Prävention und Rehabilitation, Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg Oldenburg, Deutschland.
概括
德国的东欧居住护理人员在不受监管的家庭护理中面临挑战. 利益相关者提出专业化,整合到护理组合,或替代方案,强调政策超出法律修复质量长期护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理社会学 护理社会学
- 老年学是指老年学的学科.
背景情况:
- 东欧工人的住院护理解决了德国老年人长期护理方面的差距.
- 这种护理形式在很大程度上不受监管,存在于正式和非正式的护理结构之间.
- 现有的医疗服务研究对住院护理的复杂性给予了有限的关注.
研究的目的:
- 分析有关德国住院护理的利益相关者当前的讨论.
- 确定有关现状和未来监管生活在护理的论点.
- 了解护理实践,政治和协会的观点.
主要方法:
- 对22个在线利益相关者文件和10个专家采访进行了定性内容分析.
- 来自文件和采访的数据的三角分析.
- 演-诱导类别系统用于分析观点和论点.
主要成果:
- 出现了三个主要论点:专业化,融入护理组合,或废除住院护理模式.
- 人们一致认为,政治措施必须超越法律解决方案.
- 框架条件,调解和护理实践的规范被认为是必要的.
结论:
- 未来的住宿护理设计需要调整财务激励和专业化的服务.
- 促进非正式护理网络和与正式提供者合作至关重要.
- 话语必须明确如何将质量保证的长期护理标准应用于各种护理安排.
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