澳大利亚老年护理机构居民住院回避计划的结构和过程评估。
A structure and process evaluation of an Australian hospital admission avoidance programme for aged care facility residents.
机构信息
Emergency Department Clinical Network, Queensland Health and Research Centre for Clinical and Community Practice Innovation, Griffith University, Gold Coast, Australia.
出版信息
J Adv Nurs. 2012 Feb;68(2):322-34. doi: 10.1111/j.1365-2648.2011.05740.x. Epub 2011 Jun 16.
AIM
To describe and evaluate the structures and processes involved in a hospital in the Nursing Home programme.
BACKGROUND
Older Australians are the largest consumers of healthcare, and as a result of the ageing process are at risk of developing hospital acquired iatrogenic complications. Hospital admission avoidance programmes that aim to provide care for patients in their own environment include Hospital in the Home and, more recently, Hospital in the Nursing Home.
METHODS
In 2006, a qualitative evaluation of a nurse-led Hospital in the Nursing Home programme using semi-structured interviews with 19 stakeholders was undertaken. Data analysis involved using start codes and content analysis.
FINDINGS
Effective referral and communication strategies were important for Hospital in the Nursing Home implementation. Furthermore, the Hospital in the Nursing Home programme manager had acute care and community experience and worked in an advanced practice role. These elements were integral to the programme's operation.
CONCLUSION
As the population ages, reducing hospital admissions for aged-care facility residents has the potential to improve patient outcomes. A structurally and procedurally sound programme is a key element in achieving this aim.
目的
描述和评估养老院护理计划中涉及的结构和流程。
背景
澳大利亚老年人是医疗保健的最大消费者，由于衰老过程，他们有患医院获得性医源性并发症的风险。旨在为患者在自己的环境中提供护理的医院入院回避计划包括家庭医院和最近的养老院医院。
方法
2006 年，对护士主导的养老院医院计划进行了定性评估，对 19 名利益相关者进行了半结构化访谈。数据分析涉及使用起始代码和内容分析。
结果
有效的转诊和沟通策略对养老院医院的实施很重要。此外，养老院医院计划经理具有急性护理和社区经验，并担任高级实践角色。这些要素是该计划运作的重要组成部分。
结论
随着人口老龄化，减少养老院居民的住院人数有可能改善患者的预后。一个结构合理、程序健全的计划是实现这一目标的关键要素。
Zotero 插件