利用机构支持为家庭照顾者提供支持，以满足残疾人士的健康和职业需求。
Leveraging institutional support for family caregivers to meet the health and vocational needs of persons with disabilities.
机构信息
Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.
出版信息
Nurs Outlook. 2020 Mar-Apr;68(2):184-193. doi: 10.1016/j.outlook.2019.08.006. Epub 2019 Sep 27.
BACKGROUND
Family caregivers might enhance veteran engagement in health and nonhealth services (i.e., vocational/educational assistance).
PURPOSE
To describe how veterans with disabilities perceive their recovery needs, identify types of social support from caregivers that help veterans engage in Veterans Affairs (VA) health and nonhealth services, and explore participant views of VA institutional support for caregivers to help veterans engage in these services.
METHODS
Joint in-depth qualitative interviews with U.S. veterans and family caregivers (n = 26).
FINDINGS
Caregivers performed social support functions that helped veterans engage in health and vocational/educational services and institutional support from VA enhanced caregivers' capacity.
DISCUSSION
Caregivers are well positioned to align health and nonhealth services with patient needs to enhance recovery. Staffing a point person for caregivers within the health system is key to help families develop a coordinated plan of treatment and services to improve patient success across health and nonhealth domains. Nurses are well suited to perform this role.
背景
家庭成员照顾者可能会增强退伍军人参与健康和非健康服务（即职业/教育援助）的能力。
目的
描述残疾退伍军人如何看待他们的康复需求，确定照顾者提供的帮助退伍军人参与退伍军人事务部（VA）健康和非健康服务的社会支持类型，并探讨参与者对 VA 为照顾者提供机构支持以帮助退伍军人参与这些服务的看法。
方法
与美国退伍军人和家庭成员照顾者（n=26）进行联合深入定性访谈。
发现
照顾者发挥了社会支持功能，帮助退伍军人参与健康和职业/教育服务，VA 的机构支持增强了照顾者的能力。
讨论
照顾者在将健康和非健康服务与患者需求保持一致方面具有得天独厚的优势，从而促进康复。在卫生系统中为照顾者配备一名负责人是帮助家庭制定协调一致的治疗和服务计划的关键，以改善健康和非健康领域的患者成功率。护士非常适合担任这一角色。
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