在分享选择中的实践变化 实用性初级护理试验 提前护理规划
Sydney M Dy1,2, Danny Scerpella1, Jennifer L Wolff1,2
1Department of Health Policy & Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Journal of the American Geriatrics Society
|February 9, 2026
概括
实践变化对预先护理规划 (ACP) 干预措施产生重大影响. 虽然像达到和吸收这样的过程与记录的预先指令相关,但它们不会影响终身护理负担,突出实施挑战.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 提前护理规划 (ACP) 干预实施的障碍被充分记录.
- 了解实践层面的差异对于改善非洲和非洲国家/地区的成果至关重要.
- 本研究探讨了对老年人进行初级保健的ACP干预措施的实践变化.
研究的目的:
- 在Sharing Choices实用试验中检查实践变化.
- 评估ACP流程 (覆盖,吸收) 和结果 (预先指令,繁重的护理) 之间的关联.
主要方法:
- 量化和定性数据的解释性顺序混合方法分析.
- 在ACP促进者覆盖率和吸收率的评估变化.
- 评估了新的EHR记录的预先指示和收到繁重的护理.
主要成果:
- 在ACP过程和结果中观察到实质性的实践差异.
- 覆盖范围和吸收与预先指令文件相关,而不是繁重的护理.
- 促进者指出实践关系,非洲和非洲的优先事项和资源是变化的来源.
结论:
- 实践的变化给务实的非洲国家和地区试验带来了挑战.
- 流程和结果之间的关联是复杂的,并且取决于环境.
- 未来的ACP试验应考虑和评估实践的变化.
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