减少对智力残疾人的复杂长期护理中的限制性措施:通过规范化过程理论的透视来实施干预措施
Esther H Bisschops1, J Clasien de Schipper1, Baukje Schippers2
1Section of Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Journal of intellectual & developmental disability
|January 17, 2025
概括
在智力障碍护理中实施创新是具有挑战性的. 这项研究使用规范化过程理论来分析减少限制措施的干预措施,发现客户的观点和专业的共识是成功的关键.
科学领域:
- 医疗保健管理的管理
- 智力障碍 智力障碍 智力障碍
- 实施科学 实施科学
背景情况:
- 对智力障碍的长期护理是多学科的,优先考虑稳定性而不是创新.
- 实施新的方法,例如减少限制措施,面临着组织方面的挑战.
- 规范化过程理论 (NPT) 为理解这些实施动态提供了一个框架.
研究的目的:
- 分析旨在减少智障护理限制措施的干预措施.
- 了解影响使用"不扩散条约"实施这些干预措施的社会机制.
- 确定在这种特定的护理环境中实施创新的独特挑战.
主要方法:
- 分析了减少限制措施的试验过程笔记.
- 实施干预措施由科克伦有效实践和护理组织审查小组指导.
- 干预被映射到规范化过程理论的社会机制.
主要成果:
- 经常使用与客户相关的干预和与护理专业人员的共识过程.
- 这些干预措施成功启动了NPT的关键社会机制:凝聚力,认知参与和集体行动.
- 该研究强调了在实施过程中整合多样化的视角的重要性.
结论:
- 减少限制性措施需要关注共识,并纳入客户观点.
- 这些要素解决了长期智力障碍护理中的独特实施挑战.
- 这些发现为改善专业医疗保健机构的创新采用提供了洞察力.
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