Abrahamson Kathleen, DeCrane Susan, Mueller Christine, Davila Heather Wood, Arling Greg
Purdue University School of Nursing, West Lafayette, Indiana (Drs Abrahamson, DeCrane, and Arling); University of Minnesota School of Nursing, Minneapolis (Dr Mueller and Ms Davila).
J Nurs Care Qual. 2015 Jul-Sep;30(3):261-8. doi: 10.1097/NCQ.0000000000000099.
This article describes the experiences of staff members working within nursing homes that successfully implemented a quality improvement project aimed at reducing resident pain. Interviews were conducted with 24 nursing home employees from within 8 facilities participating in the quality improvement project. Findings were organized using the Consolidated Framework for Implementation Research. Interdisciplinary communication, supportive leadership, training, and nursing assistant participation facilitated implementation. Increased documentation, resistance to change, and difficulty measuring outcomes were perceived challenges.
本文描述了养老院工作人员成功实施一项旨在减轻居民疼痛的质量改进项目的经历。对参与该质量改进项目的8家机构的24名养老院员工进行了访谈。研究结果采用实施研究综合框架进行整理。跨学科沟通、支持性领导、培训和护理助理的参与促进了项目的实施。记录增加、对变革的抵触以及结果测量困难被视为挑战。