养老院息护理的培训和实践差距:一个跨部门研究
Manali Saraiya1, Molly A Nowels1, Rose L Carlson1
1Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Journal of the American Geriatrics Society
|September 8, 2025
概括
养老院工作人员支持息护理,但存在知识差距,特别是关于它与临终关怀的区别. 需要量身定制的培训来改善护理的一致性,并与居民需求保持一致.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 养老院居民的息护理需求很高,但获得和融入是有限的.
- 养老院工作人员有不同的培训,影响了息护理的质量和一致性.
- 了解员工的观点对于开发养老院可持续的息护理模式至关重要.
研究的目的:
- 评估养老院临床员工对息护理的态度和知识.
- 为了确定养老院工作人员对预先护理计划的参与程度.
- 识别对养老院居民的息护理的看似有价值的组成部分.
主要方法:
- 在7个养老院中对398名临床员工进行了横截面调查.
- 分析使用中位数和顺序逻辑回归来确定态度的预测因素和事先的护理计划参与.
- 将学科分为六个类别进行比较分析 (MD/NP,RN,社会工作,康复,CNA,LPN).
主要成果:
- 大多数工作人员认为息治疗可以改善生活质量,但只有68%的人将其与临终关怀区分开来.
- 之前的息护理暴露和积极态度与更频繁的预先护理计划文件检查相关.
- 与其他学科相比,身体,职业和语言治疗师的态度不那么有利.
结论:
- 在护理院工作人员中存在息护理知识和临床参与方面的差距,因专业学科而异.
- 具体学科培训和量身定制的课程设计可以提高养老院的息护理服务.
- 改进的培训可以导致对重病养老院居民的更一致和价值调整的护理.
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