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一项关于开发用于衡量长期护理关系质量的定性工具的参与式研究方案。

Protocol for a participatory study for developing qualitative instruments measuring the quality of long-term care relationships.

作者信息

Scheffelaar Aukelien, Hendriks Michelle, Bos Nanne, Luijkx Katrien, van Dulmen Sandra

机构信息

Nivel (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.

Radboud university medical center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, The Netherlands.

出版信息

BMJ Open. 2018 Dec 2;8(11):e022895. doi: 10.1136/bmjopen-2018-022895.

Abstract

INTRODUCTION

In long-term care (LTC), it is unclear which qualitative instruments are most effective and useful for monitoring the quality of the care relationship from the client's perspective. In this paper, we describe the research design for a study aimed at finding and optimising the most suitable and useful qualitative instruments for monitoring the care relationship in LTC.

METHODS AND ANALYSIS

The study will be performed in three organisations providing care to the following client groups: physically or mentally frail elderly, people with mental health problems and people with intellectual disabilities. Using a participatory research method, we will determine which determinants influence the quality of a care relationship and we will evaluate up to six instruments in cooperation with client-researchers. We will also determine whether the instruments (or parts thereof) can be applied across different LTC settings.

ETHICS AND DISSEMINATION

This study protocol describes a participatory research design for evaluating the quality of the care relationship in LTC. The Medical Ethics Committee of the Radboud University Nijmegen Medical Centre decided that formal approval was not needed under the Dutch Medical Research Involving Human Subjects Act. This research project will result in a toolbox and implementation plan, which can be used by clients and care professionals to measure and improve the care relationship from the client's perspective. The results will also be published in international peer-reviewed journals.

摘要

引言

在长期护理(LTC)中,尚不清楚从客户角度来看,哪些定性工具对于监测护理关系质量最为有效和有用。在本文中,我们描述了一项研究的研究设计,该研究旨在寻找并优化最适合且有用的定性工具,以监测长期护理中的护理关系。

方法与分析

该研究将在三个为以下客户群体提供护理的机构中进行:身体或精神虚弱的老年人、有心理健康问题的人以及有智力障碍的人。采用参与式研究方法,我们将确定哪些因素会影响护理关系的质量,并将与客户研究人员合作评估多达六种工具。我们还将确定这些工具(或其部分)是否可应用于不同的长期护理环境。

伦理与传播

本研究方案描述了一种用于评估长期护理中护理关系质量的参与式研究设计。拉德堡德大学奈梅亨医学中心医学伦理委员会决定,根据荷兰涉及人类受试者的医学研究法案,无需正式批准。该研究项目将产生一个工具箱和实施计划,客户和护理专业人员可利用它们从客户角度衡量和改善护理关系。研究结果也将发表在国际同行评审期刊上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cef3/6278792/1ce6a4ad0bc5/bmjopen-2018-022895f01.jpg

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