通过多式模式的老年人移动团队赋予骨科护士和护士助理权力:一种混合方法研究
Bastien Genet1, Judith Cohen-Bittan2, Rebecca Bonnetain2
1Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Equipe PEPITES, Département de Santé Publique, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Pitié-Salpêtrière, Paris, France. bastien.genet@aphp.fr.
BMC nursing
|July 2, 2025
概括
一个移动的老年医疗团队通过协助护士和助手,提高了骨科护理的质量. 这种干预措施提高了患者的治疗结果和护理人员的信心,将老年病专业知识扩展到专业单位之外.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 医疗保健管理的管理
背景情况:
- 由于组织上的限制,老年期经手术单位面临着访问限制.
- 一个移动的老年医疗团队可以根据要求向骨科病房提供专业护理.
- 这项研究评估了移动团队干预后护理人员的感知和患者护理质量的变化.
研究的目的:
- 探索护理人员对移动老年医疗团队的看法.
- 检查移动老年医疗团队对骨科患者护理质量的影响.
- 评估针对骨科工作人员的 geriatric 教育的有效性.
主要方法:
- 混合方法融合设计,利用直接的老年专业知识和教育.
- 培训包括衰老模拟,错误意识和医院相关的残疾课程.
- 对疼痛管理,动员,营养和禁欲的定量评估;与工作人员的定性焦点小组.
主要成果:
- 移动团队评估了38名患者 (平均年龄84岁),在70%以上的病例中改善了护理的适当性.
- 护理人员报告说,通过改善沟通和共享决策,减少了孤立和增强了认可.
- 该干预措施对所有四个评估的术后护理领域都产生了积极的影响.
结论:
- 经外科手术的老年人移动团队对于在骨科环境中支持护士和助手至关重要.
- 移动团队的实践援助和教育加强了老年医疗护理,超越了专业单位.
- 这种干预措施增强了专业的信心,并改善了老年人骨科护理中的患者结果.
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