Hewison Alistair, Badger Frances, Swani Tina
University of Birmingham, Birmingham, UK.
Int J Palliat Nurs. 2011 Mar;17(3):135-41. doi: 10.12968/ijpn.2011.17.3.135.
If the end-of-life care needs of people living in nursing homes are to be met, effective leadership is necessary. This in turn requires that appropriate training and support are provided for nursing home managers. To meet this need, an action learning set (ALS) involving nursing home managers was developed, and as a result of the continuous process of learning and reflection that characterizes ALS work the managers brought about a number of improvements in end-of-life care. These included more consistent use of care plans, increased involvement of clients and their families in planning end-of-life care, more training for staff, and the use of events and techniques to create opportunities for discussing the end of life. The managers set specific individual objectives focused on improving end-of-life care and were supported in meeting them through their membership of the set.
如果要满足养老院居民的临终护理需求，有效的领导至关重要。这反过来又要求为养老院管理人员提供适当的培训和支持。为满足这一需求，开发了一个由养老院管理人员参与的行动学习小组（ALS），并且由于行动学习小组工作所特有的持续学习和反思过程，管理人员在临终护理方面带来了一些改进。这些改进包括更一致地使用护理计划、增加服务对象及其家人参与临终护理规划、为工作人员提供更多培训，以及利用活动和技巧创造讨论生命终结的机会。管理人员设定了专注于改善临终护理的具体个人目标，并通过其在行动学习小组中的成员身份获得支持以实现这些目标。
