评估在养老院实施多元预先护理计划计划的实施情况
Woan Shin Tan1, Sheryl Hui Xian Ng2, Raymond Han Lip Ng3
1Health Services & Outcomes Research, National Healthcare Group, Singapore, Singapore; Geriatric Education & Research Institute, Singapore, Singapore.
Geriatric nursing (New York, N.Y.)
|May 22, 2025
概括
在养老院实施预先护理计划 (ACP) 面临挑战. 虽然项目培养技能,但组织和部门问题阻碍了将患者偏好纳入终身护理.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 定性研究是指质量研究.
背景情况:
- 预先护理计划 (ACP) 对于将终身护理与养老院居民的偏好保持一致至关重要.
- 居民的偏好往往是未知的,这在个性化护理提供中造成了差距.
- 了解实施障碍对于有效的非洲和非洲国家和地区计划的成功至关重要.
研究的目的:
- 确定关键的推动因素和限制因素,影响在养老院中实施多组件的ACP计划.
- 探讨在养老院环境中ACP领导者和实施者的经验.
- 分析影响非洲和非洲的整合和正常化因素.
主要方法:
- 一个使用规范化过程理论的定性研究.
- 半结构面试与六名非洲国家和地区领导人.
- 焦点小组讨论与18个非洲和非洲国家实施者.
- 使用反射主题分析进行数据分析.
主要成果:
- 出现了五个关键主题:理解ACP,提高技能,缺乏集体行动,评估挑战和认知不和.
- 该计划促进了个人和集体能力在ACP促进.
- 组织和部门背景对非洲和非洲国家和地区的整合和收益实现提出了重大挑战.
结论:
- 虽然ACP计划提高了工作人员的能力,但系统和组织因素阻碍了其完全融入养老院实践.
- 解决结构和背景限制对于成功实施ACP和确保居民偏好指导终身护理至关重要.
- 进一步的研究应该集中在克服长期护理环境中的这些实施障碍的策略上.
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