虚弱的老年人和他们的护理人员希望从事事先的护理计划讨论中得到什么? 一个描述性的定性研究
Robin Urquhart1,2, Cynthia Kendell3, Jessica Vickery1
1Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS B3H 1V7, Canada.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
老年人和他们的家人希望提前护理计划 (ACP) 以最大限度的舒适度,增强决策信心,并保持自主权. 将ACP与这些以患者为中心的结果调整为目标一致的护理至关重要.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 提前护理计划 (ACP) 对于老年人以人为中心的护理至关重要.
- 了解患者和家庭对非洲和非洲国家/地区治疗结果的期望是有限的.
- 脆弱性对护理规划提出了独特的挑战.
研究的目的:
- 探索患者和家庭的观点,以预先规划老年人脆弱的护理所期望的结果.
- 从患者和家庭的角度来看,确定构成有意义的ACP讨论的关键要素.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 参与者包括生活在加拿大的老年人 (65岁以上) 和他们的家人/朋友护理人员.
- 采访通过电话,视频会议或面对面进行,然后进行主题分析.
主要成果:
- 对于ACP来说,出现了三个主要的理想结果:最大限度地提高舒适度和生活质量,增强对决策和家庭安慰的信心,并保持个人自主权.
- 参与者强调以他们自己的方式生活和死亡.
- 护理人员的观点强调了在健康状况下降期间需要放心的需要.
结论:
- 非洲和非洲国家和地区的倡议和评估指标应与患者和家庭确定的优先事项保持一致.
- 研究应该进一步调查和完善这些已识别的ACP成果.
- 将以患者为中心的结果纳入临床实践,可以提高脆弱老年人的护理质量.
相关概念视频
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Pharmacodynamics in Geriatric Patients: Effects of Age
182
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
182
Drug Dosing: Geriatric Patients
217
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
217
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.9K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.9K
Planning Nursing Care II
3.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.5K


