为养老院改进预先护理计划实施评估工具 (ACP-QAT):德尔菲研究
Peiyuan Zhang1, Nancy Kusmaul2,3, Joan Davitt2
1University of Alabama School of Social Work, Tuscaloosa, AL, USA.
概括
养老院的预先护理计划 (ACP) 改善了终身护理. 研究人员修订了提前护理规划实施质量评估工具 (ACP-QAT),以更好地衡量这些设施的ACP质量.
科学领域:
- 老年学是指老年学的学科.
- 改善医疗保健质量 改善医疗保健质量
- 终身护理研究 终身护理研究
背景情况:
- 提前护理计划 (ACP) 对于高质量的终身护理至关重要.
- 养老院照顾着相当一部分临近死亡的老年人.
- 目前在美国养老院中ACP的实施不一致.
研究的目的:
- 修订提前护理规划实施质量评估工具 (ACP-QAT).
- 建立一个可靠的衡量标准,以评估养老院水平的ACP实施质量.
主要方法:
- 使用德尔菲方法来实现代的专家共识.
- 纳入了第一轮五个重点小组的反.
- 专家小组成员对项目进行了评级,通过特定的统计标准来达成共识.
主要成果:
- 确定了六个重点类别的修订,导致了10个项目修改.
- 所有修订的项目都达到了专家的共识.
- 修订后的ACP-QAT是第一个旨在评估养老院ACP实施质量的工具.
结论:
- 修订后的ACP-QAT提供了一种验证的工具,用于衡量养老院的ACP质量.
- 这种工具可以为养老院政策和实践的改进提供信息和指导.
- 加强ACP在养老院的实施,可以改善居民的终身护理.
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