"帮助划船":在加拿大四个省份实施和评估"加强长期护理中的息方法"计划
Sharon Kaasalainen1, Genevieve Thompson2, Lynn McCleary3
1School of Nursing, McMaster University, Hamilton, ON, Canada.
Palliative care and social practice
|September 10, 2025
概括
加强长期护理中的息方法 (SPA-LTC) 计划显示了增强息护理的可行性. 它减少了急诊和医院死亡,通过沟通支持以家庭为中心的方法.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 长期护理 (LTC) 设施面临的挑战是,尽管居民死亡率高,但实施息治疗仍然存在挑战.
- 在LTC环境中,结构化息护理方法存在差距.
研究的目的:
- 实施和评估"加强长期护理中的息方法"计划 (SPA-LTC).
- 评估SPA-LTC的可行性,可接受性和初步影响,对居民的舒适性,生命终端 (EOL) 紧急服务室的使用以及死亡地点进行评估.
主要方法:
- 在四个加拿大LTC家庭中采用了一种解释性的混合方法设计.
- 收集了居民结果的定量数据和员工和家庭的定性数据.
主要成果:
- 实施了SPA-LTC计划,74.5%的居民参加了息治疗会议 (PCC).
- 观察到EOL急诊室访问 (RRR:46%) 和医院死亡 (RRR:88%) 的显著减少.
- 居民舒适度没有显著差异,但家庭成员重视沟通和人际关系.
结论:
- 该SPA-LTC计划是可行的,并支持以家庭为中心的息护理模式在LTC.
- 强有力的沟通和领导力对于成功实施至关重要.
- 建议进行进一步的研究以验证这些发现.
相关概念视频
Restorative Care
2.4K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.4K
Continuing Care
1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K
Nursing Implementation
5.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.9K
Nursing Evaluation
4.2K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.2K
Documentation in Long-Term and Home Healthcare Setting
1.4K
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
1.4K
Community Based Intervention
281
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
281


