在医院的护士和老年病房和神经病房的患者中以功能为中心的护理:混合方法的过程评估
Selma Kok1,2, Elke G E Mathijssen1, Lisette Schoonhoven2,3
1Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Heidelberglaan 100, 3508 GA Utrecht, the Netherlands.
International journal of nursing studies advances
|September 2, 2025
概括
医院的功能集中护理改善了护理,医院住院时间减少了3.3天. 然而,患者的识别和功能状态没有显著变化,突出了实施的挑战.
科学领域:
- 老年医学
- 神经学
- 医疗管理
背景情况:
- 功能集中护理 (FFC) 是一种旨在增加住院患者体力活动的干预措施.
- 之前的研究表明FFC可以减少住院时间,但没有影响功能状态.
- 过程评估对于了解FFC的实施忠实性,影响机制和上下文因素至关重要.
研究的目的:
- 了解护士和患者在FFC实施方面的经验.
- 评估FFC在老年病房和神经病房的实施准确性,影响机制和背景因素.
主要方法:
- 一个融合的平行混合方法研究与一个阶段形临床试验.
- 数据收集包括患者采访,护士聚焦小组,问卷,观察,电子健康记录查和日志.
- 用描述性统计数据分析了定性数据,并综合了研究结果.
主要成果:
- 在干预组中,符合FFC原则的护理从60%增加到75%.
- 护士报告说只有在必要时协助患者,并鼓励ADL自主执行.
- 患者没有识别FFC,并且实施忠实性受到各种机制和上下文因素的影响.
结论:
- FFC的实施改善了护理服务,但在个性化护理,跨专业合作和护理领导方面面临挑战.
- 环境因素和工作机制影响了实施的准确性和利益相关者的经验.
- 需要提高护理的连续性,解决个性化护理的时间限制,加强护理领导力和自主性.
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