养老院中的谵妄：一项关于工作人员知识的探索性研究。
Delirium in a residential care facility: An exploratory study of staff knowledge.
作者信息
Buettel Amy, Cleary Michelle, Bramble Marguerite
机构信息
Intensive Care Unit, Launceston General Hospital, Launceston, Tasmania, Australia.
School of Health Sciences, University of Tasmania, Sydney, New South Wales, Australia.
出版信息
Australas J Ageing. 2017 Sep;36(3):228-233. doi: 10.1111/ajag.12452. Epub 2017 Jul 5.
OBJECTIVE
To explore staff knowledge of delirium by eliciting meaning through descriptions of their experiences within a residential aged care facility (RACF).
METHODS
Six staff from one RACF in Australia participated in this qualitative study. Semi-structured individual interviews were conducted and analysed using Colaizzi's analytical framework.
RESULTS
The analysis revealed four themes: (i) absence of the word delirium; (ii) care based on intuition and automated actions; (iii) reliance on teamwork; and (iv) confusing delirium, depression and dementia.
CONCLUSION
Delirium was absent from clinical discourse in the RACF. Although participants concluded that delirium was common, lack of knowledge led to under-assessment. Findings emphasise the need for staff education, informed assessment and clinical guidelines to better support staff care for residents.
目的
通过引出澳大利亚一家老年护理机构（RACF）工作人员对其经历的描述的含义，来探索他们对谵妄的认知。
方法
澳大利亚一家RACF的六名工作人员参与了这项定性研究。采用半结构化个人访谈，并使用科莱齐的分析框架进行分析。
结果
分析揭示了四个主题：（i）谵妄一词的缺失；（ii）基于直觉和自动行动的护理；（iii）对团队合作的依赖；（iv）谵妄、抑郁和痴呆的混淆。
结论
RACF的临床讨论中不存在谵妄。尽管参与者得出结论认为谵妄很常见，但知识的缺乏导致评估不足。研究结果强调需要对工作人员进行教育、进行明智的评估并制定临床指南，以更好地支持工作人员对居民的护理。
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