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医院痴呆症照护计划对急性医院员工满意度的影响。

Impact of the Dementia Care in Hospitals Program on acute hospital staff satisfaction.

机构信息

Deakin University, Geelong Australia, Deakin Rural Health, School of Medicine, Warrnambool, VIC, 3280, Australia.

Ballarat Health Services (BHS), Ballarat, 3350, Australia.

出版信息

BMC Health Serv Res. 2019 Sep 18;19(1):680. doi: 10.1186/s12913-019-4489-z.

Abstract

BACKGROUND

To evaluate the impact of the Dementia Care in Hospitals Program (DCHP) on clinical and non-clinical staff job satisfaction, level of confidence and comfort in caring for patients with cognitive impairment (CI). Staff perceptions of how organisational support and hospital environment met the needs of patients with CI were also assessed.

METHODS

The DCHP was implemented across four acute hospital sites across Australia. Clinical and non-clinical staff received training on CI screening and communication strategies for patients with CI. A staff satisfaction survey was administered pre- and post-implementation of the DCHP.

RESULTS

One thousand seven hundred forty-eight staff received DCHP education and 1375 staff participated in the survey. Self-reported confidence and level of comfort in caring for patients with CI significantly improved following implementation. Staff also reported increased job satisfaction and organisational support at all hospital sites.

CONCLUSIONS

The DCHP implementation within an acute hospital setting was found to show an improvement in staff confidence, comfort, and job satisfaction when caring for patients with CI. This study has significant implications for the improvement of care for patients with CI as well as staff retention and job satisfaction. Further research is required to determine whether these improvements are sustained in the longer term.

摘要

背景

评估医院痴呆护理计划(DCHP)对临床和非临床工作人员的工作满意度、照顾认知障碍(CI)患者的信心和舒适度的影响。还评估了工作人员对组织支持和医院环境如何满足 CI 患者需求的看法。

方法

该 DCHP 在澳大利亚的四个急性医院地点实施。临床和非临床工作人员接受了 CI 筛查和与 CI 患者沟通策略的培训。在实施 DCHP 之前和之后进行了员工满意度调查。

结果

1748 名员工接受了 DCHP 教育,1375 名员工参与了调查。实施后,自我报告的照顾 CI 患者的信心和舒适度显著提高。所有医院的员工还报告了工作满意度和组织支持的增加。

结论

在急性医院环境中实施 DCHP 被发现可以提高工作人员在照顾 CI 患者时的信心、舒适度和工作满意度。这项研究对改善 CI 患者的护理以及员工保留和工作满意度具有重要意义。需要进一步研究以确定这些改善是否在长期内持续。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355e/6751685/b2e51053805b/12913_2019_4489_Fig1_HTML.jpg

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