扩大和传播老年关怀:来自退伍军人事务部全国老年关怀行动社区的早期经验。

IF 4.3 2区 医学 Q1 GERIATRICS & GERONTOLOGY Journal of the American Geriatrics Society Pub Date : 2025-01-09 DOI:10.1111/jgs.19321
Andrea Wershof Schwartz MD, MPH, AGSF, Shannon Munro PhD, APRN, BC, NP, Katharina V. Echt PhD, Anna Mirk MD, Laurence M. Solberg MD, AGSF, Kimberly Wozneak MS
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引用次数: 0

摘要

背景:老年友好型健康系统(AFHS)倡议旨在通过评估和对4Ms(什么重要,药物,心理状态,流动性)采取行动来改善老年人的护理。退伍军人事务部(VA)于2020年加入了该计划,从2022年到2023年,VA领导了第一个年龄友好行动社区,这是一个为期7个月的在线教育系列,向临床医生传授如何在VA护理环境中实施4m。方法:退伍军人事务部行动社区旨在传播老年退伍军人的老年友好型护理意识,提高在4Ms指导下提供护理的跨专业团队知识,并支持AFHS在多个护理环境中的实施。退伍军人事务部行动社区包括在线同步网络研讨会、实践社区辅导电话和办公时间。在行动社区结束时,发放了一份学习者经验调查表。结果:共有186个护理团队参加了VA行动社区,代表了78/171 (45.6%)VA医疗中心(VAMCs),遍布美国36个州和20种护理环境。参与者报告了很高的满意度和对他们运用所学知识和技能的能力的信心。总体而言,58个行动社区团队获得了1级参与者认可,43个团队还获得了医疗保健改进研究所颁发的2级“致力于卓越护理”认可。结论:退伍军人事务部行动社区促进了对4Ms的学习,支持跨专业团队获得AFHS认可,并为在其他大型卫生系统中推广AFHS提供了一个有希望的模式。进一步的工作正在进行中,以评估这种教育经验对临床过程和结果措施的影响。
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Scaling and spreading age-friendly care: Early lessons from the VA National Age-Friendly Action Community

Background

The Age-Friendly Health System (AFHS) initiative seeks to improve care for older adults through assessing and acting on the 4Ms (What Matters, Medication, Mentation, Mobility). The Department of Veterans Affairs (VA) joined the initiative in 2020, and from 2022 to 2023, VA led its first Age-Friendly Action Community, a 7-month online educational series to teach clinicians about implementing the 4Ms across VA care settings.

Methods

The VA Action Community was designed to spread awareness about Age-Friendly care for older Veterans, improve interprofessional team knowledge for providing care guided by the 4Ms, and support AFHS implementation across multiple care settings. The VA Action Community included online synchronous webinars, Community of Practice coaching calls, and office hours. A learner experience questionnaire was administered at the completion of the Action Community.

Results

Totally 186 care teams enrolled in the VA Action Community, representing 78/171 (45.6%) VA medical centers (VAMCs), across 36 US states and 20 types of care settings. Participants reported high rates of satisfaction and confidence in their ability to apply the knowledge and skills learned. Overall, 58 Action Community teams earned Level 1, Participant recognition, and 43 teams also earned Level 2, Committed to Care Excellence recognition from the Institute for Healthcare Improvement.

Conclusions

The VA Action Community facilitated learning about the 4Ms, supported interprofessional teams in earning AFHS recognition, and offers a promising model for spreading AFHS in other large health systems. Further work is underway to evaluate the impact of this educational experience on clinical process and outcomes measures.

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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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Notices Issue Information Cover Inspiring Undergraduate Student Training in Alzheimer's Research (USTAR): Training the Next Generation of Aging Scientists Issue Information
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