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以患者为中心的护理的参与和采用:堪萨斯州PEAK 2.0项目中的参与者体验

Engagement and Adoption of Person-Centered Care: Participant Experiences in the Kansas PEAK 2.0 Program.

作者信息

Cornelison Laci J, Syme Maggie L, Dell-Isola Richard, Doll Gayle

出版信息

J Gerontol Nurs. 2019 Nov 1;45(11):5-10. doi: 10.3928/00989134-20191011-02.

Abstract

The Promoting Excellent Alternatives in Kansas (PEAK) 2.0 program provides training, evaluation, and support in person-centered care (PCC) for nursing homes across Kansas. To represent the participant voice, nursing home employees (N = 141) provided feedback on their experiences and their home's level of engagement in PEAK 2.0 as well as achievement of PCC adoption. Analyses were conducted to capture the positive/negative valence and specificity of their comments and examine how engagement in PEAK 2.0 relates to the process and outcome of PEAK 2.0. Qualitatively, staff participants demonstrated that PEAK 2.0 is viewed positively overall, with approximately twice as many participants with more positive (e.g., community support, satisfaction with resources) than negative (e.g., over-regulation, too structured) comments. Employees reporting moderate engagement in PCC provided the majority of specific suggestions for improvement. In addition, higher levels of engagement were significantly associated with higher levels of PCC achievement. Based on these results, suggestions are offered to enhance nursing staff experiences and engagement that will help support PCC adoption. [Journal of Gerontological Nursing, 45(11), 5-10.].

摘要

堪萨斯州卓越替代方案推广(PEAK)2.0项目为堪萨斯州的养老院提供以患者为中心的护理(PCC)方面的培训、评估和支持。为了体现参与者的声音,养老院员工(N = 141)就他们的经历、所在机构参与PEAK 2.0的程度以及采用PCC的成果提供了反馈。进行了分析以捕捉他们评论的积极/消极倾向和具体程度,并研究参与PEAK 2.0与PEAK 2.0的过程和结果之间的关系。从定性角度来看,员工参与者表明总体上对PEAK 2.0持积极看法,持积极评论(如社区支持、对资源的满意度)的参与者数量大约是持消极评论(如过度监管、过于结构化)的参与者的两倍。报告对PCC参与程度适中的员工提供了大部分具体的改进建议。此外,更高的参与水平与更高的PCC成果水平显著相关。基于这些结果,提出了一些建议,以改善护理人员的体验和参与度,这将有助于支持PCC的采用。[《老年护理杂志》,45(11),5 - 10。]

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