急症护理护士如何为有计划外住院的老年人提供提前护理计划:一项定性研究
Sarina Enami1, Yuka Sumikawa1, Noriko Yamamoto-Mitani1
1Department of Gerontological Home Care and Long-term Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
概括
在急症护理中,护士通过战略性,多护士"棒传递"过程来促进预先护理规划 (ACP). 这种可适应的方法确保在意外住院期间尊重患者的价值观.
科学领域:
- 老年学是指老年学的学科.
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 对于老年人来说,意外住院对于护理的连续性构成了挑战.
- 提前护理规划 (ACP) 对于尊重患者自主权和价值观至关重要.
研究的目的:
- 探索护士如何为在急性护理机构中经历意外住院的老年人提供预先护理计划 (ACP).
主要方法:
- 基于理论的研究. 理论研究.
- 与22名护士进行半结构面试,详细介绍了成功的非洲和非洲国家经验.
主要成果:
- 促进ACP是一个集体的,多护士"棒传递"过程,而不是一个护士的任务.
- 护士在战略上"挤进"基础工作",抓住"适当的对话时刻,并制定初步的ACP计划.
- 这种可适应,流动的过程整合了跨护理过渡的分散努力,尊重患者的价值观.
结论:
- 护士的适应能力和网络是有效的ACP在急性护理中对有计划外入院的老年人至关重要的.
- 集体的战略方法确保了在过渡期间的连续性和以患者为中心的护理.
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