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促进养老院居民的功能活动:一项关于护理人员所经历障碍的横断面研究。

Promoting Functional Activity Among Nursing Home Residents: A Cross-Sectional Study on Barriers Experienced by Nursing Staff.

作者信息

Kuk Nienke O, Zijlstra G A Rixt, Bours Gerrie J J W, Hamers Jan P H, Tan Frans E S, Kempen Gertrudis I J M

机构信息

1 Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, The Netherlands.

2 Research Centre for Autonomy and Participation for Persons with a Chronic Illness, Zuyd University of Applied Sciences, Heerlen, The Netherlands.

出版信息

J Aging Health. 2018 Apr;30(4):605-623. doi: 10.1177/0898264316687407. Epub 2017 Jan 17.

DOI:10.1177/0898264316687407
PMID:28553799
Abstract

OBJECTIVE

To obtain insight into (a) the prevalence of nursing staff-experienced barriers regarding the promotion of functional activity among nursing home residents, and (b) the association between these barriers and nursing staff-perceived promotion of functional activity.

METHOD

Barriers experienced by 368 nurses from 41 nursing homes in the Netherlands were measured with the MAastrIcht Nurses Activity INventory (MAINtAIN)-barriers; perceived promotion of functional activities was measured with the MAINtAIN-behaviors. Descriptive statistics and hierarchical linear regression analyses were performed.

RESULTS

Most often experienced barriers were staffing levels, capabilities of residents, and availability of resources. Barriers that were most strongly associated with the promotion of functional activity were communication within the team, (a lack of) referral to responsibilities, and care routines.

DISCUSSION

Barriers that are most often experienced among nursing staff are not necessarily the barriers that are most strongly associated with nursing staff-perceived promotion of functional activity.

摘要

目的

深入了解(a)护理人员在促进养老院居民功能活动方面遇到的障碍的普遍性,以及(b)这些障碍与护理人员所感知的功能活动促进之间的关联。

方法

使用马斯特里赫特护士活动量表(MAINtAIN)-障碍量表对荷兰41所养老院的368名护士所经历的障碍进行测量;使用MAINtAIN-行为量表对所感知的功能活动促进情况进行测量。进行了描述性统计和分层线性回归分析。

结果

最常遇到的障碍是人员配备水平、居民能力和资源可用性。与功能活动促进最密切相关的障碍是团队内部沟通、职责分配(缺乏)和护理常规。

讨论

护理人员最常遇到的障碍不一定是与护理人员所感知的功能活动促进最密切相关的障碍。

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