使用实施科学策略,在急性护理中嵌入老年和痴呆症最佳实践
Karen Nicolai1, Catherine A Hebert, Mary Beth Turner
1Author Affiliations: Nursing, Western North Carolina VA Health Care System, Asheville, NC, USA (Ms Nicolai, Dr Hebert, Ms Turner, Ms Trinity, Ms Sheppard, Ms Moore).
Journal of nursing care quality
|January 6, 2026
概括
实施老年认知障碍协议改善了痴呆症退伍军人以人为中心的护理 (PCC),减少了行为障碍和住院时间. 这种方法增强了急性护理环境中的老年病患者的最佳实践.
科学领域:
- 老年医学 老年医学
- 实施科学 实施科学
- 护理 护理 护理 护理
背景情况:
- 住院对老年人和痴呆症患者来说是一个挑战.
- 老年综合征和行为障碍使急性护理复杂化.
- 以人为中心的护理 (PCC) 是一种有效的策略,用于改善患者的治疗结果.
研究的目的:
- 为解决在急性护理环境中患有痴呆症的退伍军人增加的行为障碍和长时间住院的问题.
- 实施一项促进PCC和老年医疗最佳实践的协议.
主要方法:
- 使用实施研究综合框架 (CFIR) 和实施变革专家建议 (ERIC).
- 实施了老年认知障碍协议.
- 确定了干预的障碍和促进者.
主要成果:
- 成功实施了PCC干预措施.
- 观察到行为障碍的减少.
- 护士们报告说,一个更以人为中心的环境,更好地获得基于证据的护理工具.
结论:
- 实施科学战略有效地促进PCC和老年病的最佳实践.
- 可修改的护理协议可以促进这些改进.
- 这种方法对于在急性护理中管理复杂患者群体是有价值的.
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