机构老年护理管理研究与管理挑战的匹配 - 系统文献回顾。
The match between institutional elderly care management research and management challenges - a systematic literature review.
机构信息
Department of Health and Social Management, University of Eastern Finland, Kuopio Campus, Kuopio, FI, 70211, Finland.
出版信息
Health Res Policy Syst. 2012 Nov 8;10:35. doi: 10.1186/1478-4505-10-35.
BACKGROUND
Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents.
METHODS
This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents.
RESULTS
The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents.
CONCLUSIONS
Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers' and policymakers' scientific literacy needs to be enhanced.
背景
老年护理实践及其管理以及政策和研究在应对机构老年人护理日益增加的挑战方面发挥着至关重要的作用。这些方面之间需要成功的对话。本系统文献综述的目的是比较机构老年人护理管理研究如何应对国际长期护理政策文件中目前强调的护理挑战。
方法
本研究基于系统文献综述。使用纳入/排除标准筛选了 1971 个摘要后，保留了 2000 年至 2010 年间发表的 58 篇经过评审的文章进行分析。通过将结果与基于国际长期护理管理政策文件分析的框架进行比较，使用基于理论的内容分析对这些文章进行了分析。
结果
从政策文件中确定的长期护理管理的当前挑战是综合护理管理、生产力管理、质量管理、劳动力管理和信息通信技术管理。机构老年人护理管理研究对政策文件中提到的挑战做出了一定的回应。然而，一些挑战被广泛研究，而一些则只受到较少关注。此外，很少有研究关注政策文件中涉及的核心挑战。
结论
机构护理管理研究需要更加关注综合护理、生产力、信息通信技术和分工方面的挑战。管理者、研究人员和政策制定者应在研究、决策和政策实施过程中承担更积极的合作角色。此外，管理者和政策制定者的科学素养需要提高。
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