在老年护理实践中,初步实施一个以痴呆症为重点的风险谈判对话工具
Claudia Meyer1,2,3, Linda Schnitker1,4, Arti Appannah1
1Research Institute, Bolton Clarke, Melbourne, Victoria, Australia.
Dementia (London, England)
|July 4, 2025
概括
在痴呆症护理中实施启用选择工具改善了决策支持. 实施支持对采用有利,强调了解决成功整合工具的上下文因素的重要性.
科学领域:
- 实施科学 实施科学
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 最好的痴呆症护理实践强调支持痴呆症患者的决策.
- 将决策支持工具整合到日常护理中提出了需要战略规划的实施挑战.
- 启用选择工具是为了促进痴呆症护理中的风险谈判对话而开发的.
研究的目的:
- 利用实施科学原则,将启用选择工具嵌入到澳大利亚社区老年护理中.
- 探索环境障碍和推动者,以实施一个以痴呆症为重点的风险谈判工具.
- 评估启用选择工具的可行性,可接受性,适当性,覆盖范围和采用程度.
主要方法:
- 采用了一种混合方法的探索性设计.
- 共同设计研讨会确定了障碍,促进因素和行为改变策略.
- 为老年护理工作人员提供培训,随后通过采访和记录审计进行工具使用和评估.
主要成果:
- 62名护理经理接受了培训,其中31人使用启用选择工具与痴呆症患者或护理伙伴进行培训.
- 护理经理采访的主要主题包括增强护理,灵活培训,定义目标受众,克服犹.
- 实施支持被发现是有益的,影响了该工具的可行性,覆盖范围和采用.
结论:
- 启用选择工具的实施提供了对老年护理中的上下文障碍和启用因素的见解.
- 解决行为改变的能力,机会和动机对于成功的创新采用至关重要.
- 工具的可接受性,可行性和适当性之间的联系对于其在日常实践中达到和采用至关重要.
相关概念视频
01:30Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K
01:30Dementia
165
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
165
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.3K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.3K
01:29Documentation in Long-Term and Home Healthcare Setting
976
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
976
01:22Alzheimer's Disease: Treatment
260
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
260
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.9K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.9K