一项多方法研究,开发和试点测试为脆弱的老年人提供专业间的过渡期护理模式 - - AdvantAGE
Isabel Pfundstein1,2, Oliver Mauthner1,2, Cynthia O Gschwind1
1University Department of Geriatric Medicine FELIX PLATTER, Basel, Switzerland.
Journal of advanced nursing
|March 13, 2025
概括
AdvantAGE过渡期护理模式是为了应对医院到家庭过渡的挑战而开发的. 这种实施科学方法完善了模型,改善了护理协调和患者支持.
科学领域:
- 老年医学 老年医学
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 从医院到家庭的过渡带来了诸多挑战,包括信息流动不良和患者/护理人员不安全.
- 现有的过渡期护理模式可能无法充分解决老年护理的复杂性.
- 制定有效的过渡期护理策略对于改善患者的治疗结果和减少再入院至关重要.
研究的目的:
- 在瑞士老年医院环境中开发和试点测试AdvantAGE过渡期护理模型.
- 识别和解决老年患者从医院到家庭过渡的关键挑战.
- 创建一个量身定制的过渡期护理模式,与当地医疗保健需求和环境保持一致.
主要方法:
- 从2021年1月到2023年12月的三个阶段采用了多方法设计.
- 背景分析利用了实施研究的综合框架和定性访谈.
- 开发了AdvantAGE模型,在老年病房进行了试点测试,并使用逻辑模型方法与利益相关者的投入进行了改进.
主要成果:
- 发现的核心挑战包括信息流量不足,患者/护理人员的不安全感和治疗不良坚持.
- AdvantAGE模型有五个核心元素:持续的患者/护理人员支持,初级保健协调,家庭健康管理,药物/自我管理支持和预先护理计划.
- 在10个月的时间里,对62名患者进行了试点测试,为模型的改进和逻辑模型的开发提供了信息.
结论:
- 实施科学方法成功促进了AdvantAGE过渡期护理模型的开发和完善.
- 该研究强调了创建特定背景的过渡期护理模式,为从业者,研究人员和政策制定者提供了宝贵的见解.
- 研究结果支持在老年医疗机构制定改进的过渡期护理实践和政策.
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