Cook Glenda, McNall Anne, Thompson Juliana, Hodgson Philip, Shaw Lynne, Cowie Daniel
Professor of Nursing, Northumbria University, Newcastle upon Tyne, UK.
Enterprise Fellow, Northumbria University, Newcastle upon Tyne, UK.
J Nurs Scholarsh. 2017 Jan;49(1):15-23. doi: 10.1111/jnu.12261. Epub 2016 Nov 7.
The increasingly complex nature of care home residents' health status means that this population requires significant multidisciplinary team input from health services. To address this, a multisector and multiprofessional enhanced healthcare programme was implemented in nursing homes across Gateshead Council in Northern England.
To explore the views and experiences of practitioners, social care officers, and carers involved in the enhanced health care in care home programme, in order to develop understanding of the service delivery model and associated workforce needs for the provision of health care to older residents.
A qualitative constructivist methodology was adopted. The study had two stages. Stage 1 explored the experiences of the programme enhanced healthcare workforce through group, dyad, and individual interviews with 45 participants. Stage 2 involved two workshops with 28 participants to develop Stage 1 findings (data were collected during February-March 2016). Thematic and content analysis were applied.
The enhanced healthcare programme provides a whole system approach to the delivery of proactive and responsive care for nursing home residents. The service model enables information exchange across organizational and professional boundaries that support effective decision making and problem solving.
Understanding of the processes and outcomes of a model of integrated health care between public and independent sector care home services for older people.
养老院居民健康状况日益复杂，这意味着该群体需要卫生服务部门提供大量多学科团队的投入。为解决这一问题，英格兰北部盖茨黑德委员会辖区内的养老院实施了一项多部门、多专业的强化医疗保健计划。
探讨参与养老院强化医疗保健计划的从业者、社会护理人员和护理员的观点和经历，以便了解为老年居民提供医疗保健服务的模式及相关劳动力需求。
采用定性建构主义方法。该研究分两个阶段。第一阶段通过对45名参与者进行小组访谈、双人访谈和个人访谈，探讨该计划强化医疗保健工作人员的经历。第二阶段有28名参与者参加了两个研讨会，以完善第一阶段的研究结果（数据收集于2016年2月至3月）。采用了主题分析和内容分析方法。
强化医疗保健计划提供了一种全面系统的方法，为养老院居民提供积极主动且及时响应的护理。该服务模式能够跨组织和专业界限进行信息交流，支持有效的决策制定和问题解决。
了解公共部门和独立部门为老年人提供的养老院综合医疗保健模式的过程和结果。
