开发和接受以人为本的观察和反思工具,以支持痴呆症护理服务的工作人员和实践发展

IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2023-06-18 DOI:10.1111/opn.12555
Claire Surr BA (hons), PGDip, PhD, Anne Marie Mork Rokstad RN, PhD, Josep Vila Miravent MSc, Elena Fernandez MSc, MBA, Aukje Post, Carol Fusek, Dawn Brooker CPsychol (clin), AFBPsS, PhD
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引用次数: 0

摘要

观察工具可以帮助理解老年痴呆症患者的复杂需求,并帮助提供以人为本的护理。然而,现有的工具非常复杂,使用起来需要大量的资源。目的开发和评估低资源、观察工具的可接受性和可行性,以支持员工反思和实践发展。方法在英国、挪威和西班牙进行问卷调查和焦点小组调查,采用以人为本的观察和反思工具(PORT)进行干预开发,并进行可接受性和可行性研究。结果PORT使用简单、方便、可接受。该观察结果被认为对员工个人发展具有强大的作用,并为支持个性化护理计划提供了基于证据的来源。确定了与实施相关的潜在时间挑战。结论初步评价表明,PORT是一种可接受和可行的工具,可用于老年人的卫生和社会护理环境。需要进一步研究实施模式和PORT使用的影响。PORT可能是一种有用的工具,可以支持护理机构中的个人员工发展,并为痴呆症患者制定以人为本的护理计划。
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Development and acceptability of the person-centred observation and reflection tool for supporting staff and practice development in dementia care services

Background

Observational tools can support the understanding of the complex needs of older people with dementia and aid delivery of person-centred care. However, existing tools are complex and resource intensive to use.

Objectives

To develop and evaluate the acceptability and feasibility of a low-resource, observational tool to support staff reflection and practice development.

Methods

Intervention development of the Person-Centred Observation and Reflection Tool (PORT) and acceptability and feasibility study, using surveys and focus groups in the UK, Norway and Spain.

Results

PORT was reported as easy, accessible and acceptable to use. The observation was identified as powerful for individual staff development and provided an evidence-based source for underpinning individualised care planning. Potential time challenges associated with implementation were identified.

Conclusion

Initial evaluation indicates PORT is an acceptable and feasible tool for use in health and social care settings for older people. Further research is needed on implementation models and the impacts of PORT use.

Implications for Practice

PORT may be a useful tool to support individual staff development in care settings and person-centred care planning for people with dementia.

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来源期刊
CiteScore
3.60
自引率
9.10%
发文量
77
期刊介绍: International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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