了解养老院质量倡议与照顾者行为之间的关系
Stephanie Weston1, Nancy Kusmaul1, Nancy Miller1
1University of Maryland, Baltimore County, USA.
概括
前线养老院工作人员往往缺乏对医疗保险和医疗补助服务中心 (CMS) 质量倡议的了解. 他们对高质量护理的看法与CMS指标不同,突显了政策改革的必要性.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 有限的定性研究存在于前线养老院工作人员对质量举措的看法.
- 了解员工的经验对于提高养老院质量至关重要.
研究的目的:
- 探索养老院工作人员对医疗保险和医疗补助服务中心 (CMS) 质量倡议的看法.
- 确定前线工作者的主题,以告知决策者他们对优质护理的经验.
主要方法:
- 这项定性研究涉及来自巴尔的摩/华盛顿特区四个养老院的20名参与者.
- 使用开放式问卷进行面对面的采访.
- 对转录的采访进行主题分析,重点关注CMS质量倡议的知识和意见.
主要成果:
- 参与者对CMS质量倡议的认识有限.
- 员工对高质量的护理的定义与CMS使用的指标不一致.
- 政策指标和前线工作者对质量的看法之间存在差距.
结论:
- 政策制定者应该将前线工作者的见解纳入养老院质量的定义和测量.
- 养老院领导人应该让员工参与质量改善计划.
- 弥合政策与实践之间的差距需要纳入员工的声音.
关键词:
养老院质量 五星评级 质量措施相关概念视频
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