Aberdeen Suzanne M, Byrne Graeme
School of Nursing, Monash University, Melbourne, Victoria, Australia.
School of Engineering and Mathematical Sciences, La Trobe University, Melbourne, Victoria, Australia.
Dementia (London). 2018 Apr;17(3):279-296. doi: 10.1177/1471301216641785. Epub 2016 Apr 11.
The incidence of behavioural and psychological symptoms of dementia in residential aged care facilities is high. Effective team work and knowledgeable staff are cited as important facilitators of appropriate care responses to clients with these symptoms, but to achieve this within a resource-poor workplace can be challenging. In the study reported in this paper, concept mapping was trialled to enhance multifocal person-centred assessment and care planning as well as team learning. The outcomes of team concept mapping were evaluated using a quasi-experimental design with pre- and post-testing in 11 selected Australian residential aged care facilities , including two control residential aged care facilities , over a nine-month period. It was demonstrated that use of concept mapping improved team function, measured as effectiveness of care planning, as well as enhancing learning, with increased knowledge of dementia care even amongst staff who were not directly involved with the process. It is suggested that these results may be generalizable to other countries and care settings.
在老年护理机构中，痴呆症的行为和心理症状发生率很高。有效的团队协作和知识渊博的工作人员被认为是对有这些症状的客户做出适当护理反应的重要促进因素，但要在资源匮乏的工作场所实现这一点可能具有挑战性。在本文所报道的研究中，尝试采用概念图法来加强多焦点的以人为本的评估和护理计划以及团队学习。在九个月的时间里，对澳大利亚11家选定的老年护理机构（包括两家对照老年护理机构）采用准实验设计，通过前后测试对团队概念图的结果进行了评估。结果表明，使用概念图可改善团队功能（以护理计划的有效性来衡量），并促进学习，即使是未直接参与该过程的工作人员，其痴呆症护理知识也有所增加。研究表明，这些结果可能适用于其他国家和护理环境。
