Kim Mi So, Lee Su Jung, Park Min Sun, Jeong Eun-Hye, Chang Sung Ok
College of Nursing, Korea University, Seoul, Republic of Korea.
Jpn J Nurs Sci. 2020 Jul;17(3):e12330. doi: 10.1111/jjns.12330. Epub 2020 Feb 18.
To develop a conceptual framework to structure the shared roles and tasks of interdisciplinary teams for efficient function-focused care of nursing home (NH) residents.
A qualitative study using focus groups. Two focus group interviews were conducted on NH practitioners and professors. Focus group 1 consisted of six practitioners with more than 5 years of practical experience in NHs. Focus group 2 consisted of six professors with more than 5 years of educational experience in geriatrics or gerontology and who are capable of adopting theoretical approaches to older adults' functions.
The post-acute care-rehabilitation quality framework furnished the underlying structure for the focus group interview questionnaire to develop the shared interdisciplinary function-focused care framework. The focus of the framework is how resident care processes should be based on individuality of the residents and include holistic continuous assessments, integration of care, and professional interventions by each discipline. An interdisciplinary process involves setting shared goals, communicating and coordinating roles and tasks of interdisciplinary teams, and providing complementary care. Shared final outcomes are defined as improving residents' independence and quality of life and reducing hospital transfer and admission rates.
In this study, we have developed the first conceptual framework of interdisciplinary function-focused care in NHs, which will provide an evidence-based foundation for integrated and continuous function-focused care for NH residents. The results of this study will contribute to efficient communication among the interdisciplinary teams and improvement of the outcomes of function-focused care subjects.
构建一个概念框架，以明确跨学科团队的共同角色和任务，为养老院（NH）居民提供高效的以功能为重点的护理。
采用焦点小组进行定性研究。对NH从业者和教授进行了两次焦点小组访谈。焦点小组1由6名在NH有5年以上实践经验的从业者组成。焦点小组2由6名在老年医学或老年学方面有5年以上教育经验且能够采用理论方法研究老年人功能的教授组成。
急性后护理-康复质量框架为焦点小组访谈问卷提供了基础结构，以制定跨学科共同的以功能为重点的护理框架。该框架的重点是居民护理过程应如何基于居民的个体情况，并包括全面的持续评估、护理整合以及各学科的专业干预。跨学科过程包括设定共同目标、沟通和协调跨学科团队的角色和任务以及提供补充护理。共同的最终结果定义为提高居民的独立性和生活质量，以及降低医院转诊和入院率。
在本研究中，我们构建了首个NH跨学科以功能为重点的护理概念框架，这将为NH居民的综合和持续的以功能为重点的护理提供循证基础。本研究结果将有助于跨学科团队之间的有效沟通，并改善以功能为重点的护理对象的结局。
