Faculty of Health Sciences, University of Lethbridge, Lethbridge, Alberta.
Faculty of Nursing, University of Alberta, Edmonton, Alberta.
Can J Aging. 2021 Jun;40(2):248-262. doi: 10.1017/S0714980820000082. Epub 2020 Apr 27.
Person-centred care is recognized as best practice in dementia care. The purpose of this study was to evaluate the effectiveness of a stakeholder engagement practice change initiative aimed at increasing the provision of person-centred mealtimes in a residential care home (RCH). A single-group, time series design was used to assess the impact of the practice change initiative on mealtime environment across four time periods (pre-intervention, 1-month, 3-month, and 6-month follow-up). Statistically significant improvements were noted in all mealtime environment scales by 6 months, including the physical environment (z = -3.06, p = 0.013), social environment (z = -3.69, p = 0.001), relationship and person-centred scale (z = -3.51, p = 0.003), and overall environment scale (z = -3.60, p = 0.002). This practice change initiative, which focused on enhancing stakeholder engagement, provided a feasible method for increasing the practice of person-centred care during mealtimes in an RCH through the application of supportive leadership, collaborative decision making, and staff engagement.
以患者为中心的护理被认为是痴呆症护理的最佳实践。本研究旨在评估一项利益相关者参与实践变革倡议的有效性,该倡议旨在增加居住护理院(RCH)提供以患者为中心的用餐服务。采用单组时间序列设计,评估实践变革倡议对四个时间段(干预前、1 个月、3 个月和 6 个月随访)的用餐环境的影响。在 6 个月时,所有用餐环境量表均出现统计学意义上的显著改善,包括物理环境(z = -3.06,p = 0.013)、社会环境(z = -3.69,p = 0.001)、关系和以患者为中心的量表(z = -3.51,p = 0.003)和整体环境量表(z = -3.60,p = 0.002)。这项实践变革倡议专注于增强利益相关者的参与度,通过应用支持性领导、协作决策和员工参与,为增加 RCH 用餐期间以患者为中心的护理实践提供了一种可行的方法。