Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
Uniting, NSW, Australia.
Health Soc Care Community. 2018 Nov;26(6):810-818. doi: 10.1111/hsc.12591. Epub 2018 Aug 3.
Rich social relationships contribute to improved well-being and health outcomes, yet aged care client assessments tend to focus almost exclusively on physical issues. We aim to explore the experiences of aged care staff following their use of social engagement and well-being instruments as part of routine assessments for home-care clients. The social engagement (Australian Community Participation Questionnaire, ACPQ) and well-being (ICEpop CAPability Measure for Older Adults, ICECAP-O) instruments were embedded into the centralised information system of an Australian aged care provider. Staff administered these instruments during routine client assessments across a 9-month period involving 289 assessments. Semistructured interviews with 12 staff members were conducted and themes explored using qualitative content analysis. Key factors related to the acceptability of instrument adoption were found. Staff reported the instruments were convenient to use and were valuable in eliciting information for care plan development. Staff found that the instruments complemented their standard assessment procedures and did not disrupt their routine workload. They emphasised that the information gained greatly assisted their discussions with clients, identified social needs, and enhanced client involvement in decisions about desired services. There were also some challenging elements, including staff concerns regarding their ability to deal with emotional responses from clients evoked by the survey questions. ACPQ and ICECAP-O are useful tools for identifying psychosocial client needs, are feasible for use by large-scale aged care organisations and provide valuable information to guide decision-making about services. Future research should identify the long-term effects on improving social participation and client outcomes.
丰富的社会关系有助于提高幸福感和健康状况，但老年护理客户评估往往几乎完全集中在身体问题上。我们旨在探讨老年护理人员在使用社会参与和幸福感工具作为家庭护理客户常规评估的一部分后的经验。社会参与（澳大利亚社区参与问卷，ACPQ）和幸福感（ICEpop 老年人能力衡量标准，ICECAP-O）工具被嵌入到澳大利亚老年护理提供商的集中信息系统中。在涉及 289 次评估的 9 个月期间，工作人员在常规客户评估期间管理这些工具。对 12 名工作人员进行了半结构化访谈，并使用定性内容分析探讨了主题。发现了与仪器采用的可接受性相关的关键因素。工作人员报告说，这些仪器使用方便，对于为护理计划制定收集信息非常有价值。工作人员发现，这些仪器补充了他们的标准评估程序，并且不会干扰他们的日常工作量。他们强调，获得的信息极大地帮助了他们与客户的讨论，确定了社会需求，并增强了客户对所需服务的决策参与度。也存在一些具有挑战性的因素，包括工作人员对自己处理调查问题引起的客户情绪反应的能力的担忧。ACPQ 和 ICECAP-O 是识别客户心理社会需求的有用工具，适用于大型老年护理组织使用，并提供有价值的信息来指导服务决策。未来的研究应确定改善社会参与和客户结果的长期影响。
