成人保护服务与生命末期的客户合作:挑战和支持需求
Wei-Lin Xue1, Joy Swanson Ernst2, Pi Ju Liu3
1School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
Journal of elder abuse & neglect
|September 11, 2025
概括
成人保护服务 (APS) 专业人员在与绝症患者合作时面临重大挑战. 加强支持和培训对于APS工作人员在生命结束时处理老年虐待和自我疏忽案件至关重要.
科学领域:
- 老年学是一门学科.
- 社会工作 社会工作 社会工作
- 公共卫生政策 公共卫生政策
背景情况:
- 成人保护服务 (APS) 专业人员经常遇到患有严重疾病或生命末期情况的客户.
- 这些相互作用发生在调查虐待老年人和自我疏忽病例的背景下,这增加了终身护理的复杂性.
- 在这些敏感情况下,APS员工面临的具体挑战和支持要求没有得到充分的记录.
研究的目的:
- 探讨APS专业人员与重病或临终客户一起工作所面临的独特挑战.
- 确定在终身环境中工作的APS工作人员的支持需求.
- 为更好地装备APS专业人员提供政策和实践改革的信息.
主要方法:
- 与APS专业人士和密切合作的个人进行了七个重点小组和一个个人采访.
- 采用主题分析来识别参与者讨论中的关键主题.
- 专注于了解劳动力的生活经验和感知需求.
主要成果:
- 确定了两个主要领域:挑战 (家庭冲突,照顾者准备,客户自决,服务获取问题,情绪压力) 和支持需求 (机构间合作,同行支持,组织支持).
- 专业人士报告说,目睹客户衰退和死亡的情绪压力很大.
- 在当前的培训,机构间协调和工作场所支持系统中突出存在差距.
结论:
- APS专业人员需要加强培训和资源,以有效管理涉及老年人虐待和自我疏忽的终身病例.
- 改善机构间合作和强大的组织/同行支持对于减轻情绪压力至关重要.
- 有针对性的政策和实践改革是必要的,以更好地支持APS员工在这些关键情况下.
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