疗养院环境中预先护理计划的过程:综合文献回顾。

IF 1.1 4区 医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2022-11-01 DOI:10.3928/19404921-20220930-04
Rachel Muthui, Olimpia Paun
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引用次数: 1

摘要

预先护理计划(ACP)允许个人沟通他们对未来医疗护理的愿望。ACP在因认知能力下降而被诊断患有阿尔茨海默病和相关痴呆(ADRD)的患者中尤为重要。在养老院环境中,对患有ADRD的居民及其家庭护理人员进行ACP是具有挑战性的。本综合检讨的目的是:(a)检视在安老院为ADRD住院人士及其家庭照顾者进行ACP过程的证据,以及(b)了解由谁进行ACP,以及何时及如何对ADRD住院人士及其家庭照顾者进行ACP。我们发现了一些不足之处,如缺乏系统的方法来解决养老院的ACP问题,在实施ACP方面缺乏明确的角色,家庭照顾者和养老院工作人员缺乏从事ACP的知识和技能,以及研究样本缺乏多样性。为了改善临床实践,未来的研究应探讨养老院ACP流程的标准化。老年护理研究,15(6),312-320。
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Process of Advance Care Planning in Nursing Home Settings: An Integrative Literature Review.

Advance care planning (ACP) allows individuals to communicate their wishes for future medical care. ACP is particularly important among those diagnosed with Alzheimer's disease and related dementias (ADRD) due to decline in cognition. In the nursing home setting, conducting ACP with residents with ADRD and their family caregivers is challenging. The purpose of the current integrative review was to: (a) examine the evidence on the process of conducting ACP with residents with ADRD and their family care-givers in nursing home settings, and (b) understand who conducts ACP and when and how ACP is being conducted with residents with ADRD and their family caregivers. Gaps were identified, such as lack of a systematic approach to addressing ACP in nursing homes, lack of clear roles in conducting ACP, family caregivers' and nursing home staff's lack of knowledge and skills to engage in ACP, and lack of diversity in study samples. To improve clinical practice, future studies should explore standardization of the ACP process in the nursing home setting. [Research in Gerontological Nursing, 15(6), 312-320.].

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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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