长期养老院中老年人的以关系为中心的护理:一个范围的审查
Shreemouna Gurung1, Habib Chaudhury1
1Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada.
概括
长期护理中的以关系为中心的护理 (RCC) 提高了质量和协作. 了解其核心实践,影响和障碍有助于提高对居民和家庭的护理.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 护理研究 护理研究
背景情况:
- 在长期护理 (LTC) 环境中,以关系为中心的护理 (RCC) 越来越被认为是至关重要的.
- 在LTC设施中的老年人需要专门的护理方法,优先考虑人际联系和个性化的支持.
- 现有文献强调,需要全面了解RCC在各种LTC环境中的实施.
研究的目的:
- 对长期护理 (LTC) 中老年人以关系为中心的护理 (RCC) 的实施和影响进行范围审查.
- 确定与LTC中的RCC相关的核心实践,变革性影响和促进/阻碍因素.
- 综合证据,为改善LTC护理经验和结果的策略提供信息.
主要方法:
- 一种系统的范围审查方法,遵循Levac等人. "的框架,被雇佣.
- 在主要数据库 (AgeLine,CINAHL,MEDLINE,PsycINFO,Web of Science) 进行了搜索,寻找2000年以后发表的同行评审文章.
- 纳入标准侧重于LTC,RCC的老年人,以及来自北美,澳大利亚,欧洲或新西兰的研究. 使用了诱导性内容分析.
主要成果:
- 41项经验研究 (定性,定量,混合方法) 被纳入了审查.
- 出现了三个主要类别:核心实践 (建立关系,互惠交流),变革性影响 (改善护理质量,加强合作) 和路径/路障 (个人和组织因素).
- 关键的促进因素包括强有力的领导力和员工参与度,而障碍则涉及时间限制和组织文化.
结论:
- 长期护理中的以人际关系为中心的护理 (RCC) 具有特定的实践特征,这些实践可以显著改善护理质量和合作.
- 了解个人和组织因素的相互作用对于成功实施RCC和克服障碍至关重要.
- 本次审查为制定针对性策略以优化RCC提供了基础,从而提高LTC环境中居民,家庭和工作人员的福祉.
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