Université de Montréal, Québec, Canada.
Institut universitaire de gériatrie de Montréal, Québec, Canada.
J Appl Gerontol. 2020 Feb;39(2):119-128. doi: 10.1177/0733464818762068. Epub 2018 Mar 4.
Few studies have been conducted on strategies to promote the implementation of complex interventions in nursing homes (NHs). This article presents a pilot study intended to assess the strategies that would enable the optimal implementation of a complex intervention approach in NHs based on the meanings of screams of older people living with Alzheimer's disease. An action research approach was used with 19 formal and family caregivers from five NHs. Focus groups and individual interviews were held to assess different implementation strategies. A number of challenges were identified, as were strategies to overcome them. These latter included interactive training, intervention design, and external support. This study shows the feasibility of implementing a complex intervention to optimize older people's well-being. The article shares strategies that may promote the implementation of these types of interventions in NHs.
鲜有研究关注促进养老院（NHs）实施复杂干预措施的策略。本文介绍了一项试点研究，旨在评估能够使基于阿尔茨海默病老年人的呼喊意义而采取的复杂干预方法在 NHs 中得以最佳实施的策略。该研究采用行动研究方法，参与者为来自五所 NHs 的 19 名正式和家庭护理人员。通过焦点小组和个人访谈评估了不同的实施策略。确定了一些挑战，以及克服这些挑战的策略。这些策略包括互动培训、干预设计和外部支持。本研究表明实施复杂干预措施以优化老年人福祉的可行性。本文分享了可能促进在 NHs 中实施此类干预措施的策略。
