老年人与地区护士就支持独立的干预措施的共享决策的经验:一个解释性的现象学研究
Sigrid Wulfse-Huisman1, Puck Schuitemaker2, Jessica Veldhuizen3
1Department of Internal Medicine, Section of Geriatrics and Amsterdam Public Health, Academic Medical Center, University of Amsterdam, Meibergdreef 9, Amsterdam, AZ 1105, The Netherlands; Amstelring District Nurse Care, Laan van de Helende Meesters 431, Amstelveen, DK 1186, The Netherlands.
概括
接受地区护理护理的多种慢性疾病的老年人不知道与护士分享决策机会. 这导致了未经讨论的独立目标,突出了在家庭护理中改善沟通和以患者为中心的护理的需要.
科学领域:
- 老年学是一门学科.
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 荷兰的地区护理服务提供支持多种慢性疾病的家庭老年人.
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,特别是对于管理复杂健康需求的人来说.
- 支持独立运作的有效干预需要协作目标设定.
研究的目的:
- 探索多种慢性疾病的家庭住户老年人的经验,与地区护士分享决策.
- 在支持独立运作的干预措施的背景下,识别SDM的障碍和促进者.
- 为未来在地区护理实践中实施SDM的战略提供信息.
主要方法:
- 解释性的现象学设计.
- 进行了15次半结构化采访,对住家的老年人进行了采访,这些老年人患有多种慢性疾病,接受地区护理.
- 对面试数据进行主题分析.
主要成果:
- 老年人基本上不熟悉与地区护士共同决策的概念和可能性.
- 由于缺乏SDM,独立问题和健康/社会目标仍然没有讨论.
- 在当前的实践中,对于独立运作的协作目标设定存在一个差距.
结论:
- 在地区护理服务中,共享决策在治疗多种慢性疾病的老年人中未得到充分利用.
- 需要将SDM原则纳入地区护理教育和实践.
- 涉及所有护理人员的整体,以人为中心的方法对于有效的SDM和支持独立性至关重要.
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