Saari Margaret, Patterson Erin, Killackey Tieghan, Raffaghello Julia, Rowe Alissa, Tourangeau Ann E
a Saint Elizabeth Research Centre , Saint Elizabeth Health Care , Markham , Ontario , Canada.
e School of Public Health and Health Systems, University of Waterloo , Waterloo , Ontario , Canada.
Home Health Care Serv Q. 2017 Jul-Sep;36(3-4):127-144. doi: 10.1080/01621424.2017.1393482. Epub 2017 Nov 8.
To accommodate the increasing demand for home care in Ontario, Canada, some care tasks traditionally performed by regulated health professionals are being transferred to personal support workers (PSW). However, this expansion of PSW roles is not uniform across the province. Between December 2014 and April 2015, barriers and facilitators to expansion of PSW roles in home care were explored in a series of 13 focus groups. Home care staff identified seven categories of factors affecting the expansion of PSW roles in home care including: communication and documentation; organization and structures of care; attitudes and perceptions of the expanding PSW role; adequate staffing; education, training and support; PSW role clarity and variation in practices, policies, and procedures. Addressing barriers and promoting facilitators at the funder and employer levels will enable the provision of safe, effective, and equitable care by PSWs.
为满足加拿大安大略省对家庭护理日益增长的需求，一些传统上由受监管的医疗专业人员执行的护理任务正被转移给个人支持工作者（PSW）。然而，PSW角色的这种扩展在全省并不统一。在2014年12月至2015年4月期间，通过一系列13个焦点小组探讨了家庭护理中PSW角色扩展的障碍和促进因素。家庭护理人员确定了影响家庭护理中PSW角色扩展的七类因素，包括：沟通与文件记录；护理的组织与结构；对PSW角色扩展的态度与认知；充足的人员配备；教育、培训与支持；PSW角色的清晰度以及实践、政策和程序的差异。在资助者和雇主层面解决障碍并促进促进因素，将使PSW能够提供安全、有效和公平的护理。
