预先计划护理准备,障碍和重病黑人老年人及其代孕者的促进者:一项混合方法研究
Rebecca Howe1,2,3, Shreya Kumar4, Laura Slattery4
1Department of Family Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Palliative & supportive care
|January 14, 2025
概括
黑人老年人和他们的代理人对事先护理计划 (ACP) 有信心,但并不总是准备好. 了解障碍物和促进因素是改善对这一群体的ACP参与的关键.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 健康差异 在健康上的差异
背景情况:
- 预先护理计划 (ACP) 对于严重疾病期间的医疗决策至关重要.
- 黑人老年人经历了较低的ACP参与度和较差的护理质量.
- 替代品对非洲和非洲国家至关重要,但往往被排除在规划之外.
研究的目的:
- 描述严重疾病的黑人老年人和他们的代孕妇对ACP的准备程度.
- 识别影响非洲国家和地区参与这一群体的障碍和促进因素.
主要方法:
- 解释性顺序混合方法研究在北加利福尼亚州.
- 包括老年人 (60+) 和潜在的医疗决策代理人 (18+).
- 利用经过验证的ACP参与调查和半结构面试.
主要成果:
- 老年人和代孕妇都报告了对非洲和非洲的参与度的高度信心.
- 调查结果显示,他们对非洲和非洲国家对话的准备程度较低.
- 一个四个主题框架 (疾病经验,社会联系,提供者互动,负担) 出现了障碍和促进者.
结论:
- 确定了对非洲裔老年人和他们的代孕妇的参与的主要障碍和促进者.
- 提出了一个新的框架,以加强非洲和非洲国家和地区的参与.
- 未来的研究应该评估框架对沟通和决策的影响.
相关概念视频
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
Documentation in Long-Term and Home Healthcare Setting
871
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
871
Ethical Issues
845
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
845
Ethical Dilemmas II
919
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
919
Standards of Care II
635
Nurses bear specific legal responsibilities under several federal statutes, including:
635


