养老机构中员工与认知障碍居民互动的质量。
The Quality of Interactions Between Staff and Residents With Cognitive Impairment in Nursing Homes.
机构信息
University of Maryland School of Nursing, Baltimore, MD, USA.
出版信息
Am J Alzheimers Dis Other Demen. 2020 Jan-Dec;35:1533317519863259. doi: 10.1177/1533317519863259. Epub 2019 Jul 21.
Abstract
BACKGROUND
Positive and effective staff-resident interactions are imperative to adequately assess and meet the needs of cognitively impaired residents in nursing homes and optimize their quality of life.
AIM
The purpose of this study was to quantify, describe, and analyze the interaction between staff and cognitively impaired residents in nursing homes, using the Quality of Interaction Schedule (QuIS).
METHOD
This descriptive analysis utilized baseline data from the first 2 cohorts in a randomized clinical trial including 341 residents from 35 nursing homes.
RESULTS
Five hundred fifty-six staff-resident interactions were evaluated; majority were positive (n = 466, 83.8%) and the remaining were either neutral (n = 60, 10.8%) or negative (n = 30, 5.4%). The quality of interactions varied by interaction location, interpersonal distance, and resident participation.
CONCLUSION
Future research should focus on decreasing the negative/neutral interactions and explore staff characteristics (eg, gender, level of experience) and facility factors (eg, size, ownership) that might influence the quality of interactions.
摘要
背景
积极有效的员工-居民互动对于充分评估和满足认知障碍居民的需求以及优化他们的生活质量至关重要。
目的
本研究旨在使用互动质量量表（QuIS）量化、描述和分析养老院中员工和认知障碍居民之间的互动。
方法
这是一项描述性分析，利用了一项随机临床试验的前两个队列的基线数据，包括来自 35 家养老院的 341 名居民。
结果
评估了 556 次员工-居民互动，其中大部分是积极的（n=466，83.8%），其余的是中性（n=60，10.8%）或消极的（n=30，5.4%）。互动的质量因互动地点、人际距离和居民参与度而异。
结论
未来的研究应侧重于减少负面/中性互动，并探讨可能影响互动质量的员工特征（例如，性别、经验水平）和设施因素（例如，规模、所有权）。
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