与初级保健提供者进行的定性研究:认知护理规划中的障碍和促进者
Katherine C Britt1, Xaviera Xiao2, Kevin Sun2
1University of Iowa, College of Nursing, 50 Newton Rd, Iowa City, IA 52242, USA.
概括
认知护理规划 (CCP) 尽管对老年痴呆症患者有好处,但仍未得到充分利用. 初级保健提供者面临的人,条件,和系统障碍,但也促进者,实施CPC.
科学领域:
- 老年学是一门学科.
- 初级医疗保健医学 一级医疗保健医学
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 认知护理规划 (CCP) 是一个医疗保险可偿还的服务,支持认知障碍和痴呆症的老年人.
- 尽管CPC是有效的,但在初级保健机构中仍未得到充分利用.
- 了解提供者的观点对于改进CPC实施至关重要.
研究的目的:
- 探索美国初级保健提供者的经验和对老年人CPT实施的看法.
- 识别影响初级保健中CPT采用障碍和促进者的障碍.
主要方法:
- 定性描述性研究设计.
- 与9名初级保健提供者进行了半结构化的电话会议采访.
- 用于数据分析的传统内容分析.
主要成果:
- 确定了三个类别的障碍和CCP实施的促进者:人级,条件级和系统级的因素.
- 研究结果支持先前关于初级保健中痴呆症护理的研究.
- 发现了新的被认为是促进者,并发现了中央货币对手实施的额外障碍.
结论:
- 提供商的经验凸显了中CP实施的多方面的挑战和机遇.
- 解决已识别的障碍和利用促进者可以改善老年人中CPT的采用.
- 需要进一步的研究和有针对性的干预措施,以加强CPC在初级保健机构的交付.
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