Bray Jennifer, Evans Simon, Thompson Rachel, Bruce Mary, Carter Christine, Brooker Dawn, Milosevic Sarah, Coleman Helen, McSherry Wilf
University of Worcester.
The Shrewsbury and Telford Hospital NHS Trust.
Nurs Older People. 2015 Sep;27(7):18, 20-3. doi: 10.7748/nop.27.7.18.e699.
This is the first in a short series that presents case study examples of the positive work achieved by trusts who participated in the Royal College of Nursing's development programme to improve dementia care in acute hospitals. When a person with dementia is in hospital, poor understanding of individual needs and preferences can contribute to a lack of person-centred care. Similarly, the needs of family carers can often be overlooked and staff do not always appreciate these needs at such a stressful time. This article illustrates how three NHS trusts have addressed these issues. To help staff get to know patients with dementia, Salford Royal NHS Foundation Trust has implemented a patient passport. Similarly, The Shrewsbury and Telford Hospital NHS Trust has implemented a carer passport that overcomes the restrictions imposed by hospital visiting hours. Royal Devon and Exeter NHS Foundation Trust also focused on carers, holding a workshop to elicit feedback on what was important to them. This was a useful means of engaging with carers and helped staff to realise that even simple changes can have a significant effect.
这是一个简短系列中的第一篇文章，介绍了参与皇家护理学院改善急症医院痴呆症护理发展项目的信托机构所取得的积极工作成果的案例研究示例。当痴呆症患者住院时，对个人需求和偏好的理解不足会导致缺乏以患者为中心的护理。同样，家庭护理人员的需求往往被忽视，而且在如此紧张的时期，工作人员并不总是能意识到这些需求。本文阐述了三个国民保健服务信托机构是如何解决这些问题的。为了帮助工作人员了解痴呆症患者，索尔福德皇家国民保健服务基金会信托机构实施了患者护照。同样，什鲁斯伯里和特尔福德医院国民保健服务信托机构实施了护理人员护照，克服了医院探视时间的限制。皇家德文郡和埃克塞特国民保健服务基金会信托机构也关注护理人员，举办了一次研讨会，以征求他们对重要事项的反馈。这是与护理人员互动的有效方式，有助于工作人员认识到即使是简单的改变也会产生重大影响。
