护理人员在养老院居民日常生活活动中的作用。
The role of nursing staff in the activities of daily living of nursing home residents.
作者信息
den Ouden Mirre, Kuk Nienke O, Zwakhalen Sandra M G, Bleijlevens Michel H C, Meijers Judith M M, Hamers Jan P H
机构信息
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
出版信息
Geriatr Nurs. 2017 May-Jun;38(3):225-230. doi: 10.1016/j.gerinurse.2016.11.002. Epub 2016 Dec 7.
The aim of this cross-sectional study was to explore the role of nursing staff in residents' activities. Nursing home residents (n = 723) were observed in their wards, randomly five times for one minute between 7 a.m. and 11 p.m. Resident's (in)activity and the role of nursing staff or others in this activity were recorded. Roles were defined as 'taking over the activity', 'giving support', or 'supervision'. Nurse observers were interviewed to obtain insight into their observation-experiences. Residents were observed in activities of daily living in 31% of all 3282 observations, and inactive in 57%. Nursing staff provided support in 51% of the observations and took over activities in 45%; supervision was rarely observed (4%). Nurse observers who knew the residents reported that a large part of activities were taken over unnecessarily. Based on these results, nursing staff are recommended to provide more supervision and support to optimize residents' activities and independence.
这项横断面研究的目的是探讨护理人员在居民活动中的作用。对养老院的居民（n = 723）在其病房进行观察，在上午7点至晚上11点之间随机进行5次，每次1分钟。记录居民的（不）活动情况以及护理人员或其他人在该活动中的作用。角色被定义为“接管活动”、“提供支持”或“监督”。对护士观察员进行了访谈，以了解他们的观察体验。在所有3282次观察中，有31%观察到居民在进行日常生活活动，57%观察到居民不活动。护理人员在51%的观察中提供了支持，在45%的观察中接管了活动；很少观察到监督情况（4%）。认识居民的护士观察员报告说，很大一部分活动被不必要地接管了。基于这些结果，建议护理人员提供更多监督和支持，以优化居民的活动和独立性。
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