在养老院研究中最大限度地提高包容性:从AFRI-c随机对照试验中吸取的教训
Laurel Campbell-Smith1, Sophie Rees1, Jane Sprackman2
1Bristol Trials Centre, Bristol Medical School, University of Bristol, Bristol, UK.
The Journal of frailty & aging
|April 6, 2025
概括
在养老院进行研究带来了伦理上的挑战. 这项研究概述了促进者和建议,以包容性研究的老年人在养老院设置.
科学领域:
- 老年学是一门学科.
- 临床研究 临床研究
- 医疗保健管理的管理
背景情况:
- 伦理和程序障碍使养老院内的研究变得复杂.
- 全球人口老龄化需要将老年人纳入研究.
- 养老院是研究涉及老年人的关键环境.
研究的目的:
- 确定在养老院进行研究的促进者.
- 提出建议,以加强护理机构的包容性研究实践.
- 确保养老院的老年人能够获得研究机会.
主要方法:
- 一项随机对照试验 (AFRI-c) 在英格兰91个养老院中进行.
- 实施了灵活的同意模型和量身定制的员工培训.
- 优先考虑与养老院工作人员,住户和家庭的合作.
主要成果:
- 灵活的同意,员工承诺,定制培训和国家研究基础设施支持,为符合条件的居民提供了更容易的学习机会.
- 该研究表明,在养老院环境中进行研究的可行性.
- 确定了成功的养老院研究的关键促进者.
结论:
- 建议在优先事项上咨询养老院,投资基础设施,并使用预先指示.
- 嵌入研究护士和提供关于能力法律框架的指导至关重要.
- 包容性护理家庭研究需要涉及利益相关者和支持性基础设施的多方面的方法.
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