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一项关于护理专业学生在老年居家护理客户跌倒预防方面经历的定性研究。

A Qualitative Study of Nursing Students' Experiences in Fall Prevention for Older Home Care Clients.

作者信息

Turjamaa Riitta, Äijö Marja, Tervo-Heikkinen Tarja, Silén-Lipponen Marja

机构信息

Savonia University of Applied Sciences, School of Health Care, Kuopio, Finland.

University of Eastern Finland, Kuopio, Finland.

出版信息

J Aging Res. 2020 Jun 28;2020:7652623. doi: 10.1155/2020/7652623. eCollection 2020.

Abstract

The aim of this study was to describe the experiences of nursing students in fall prevention during clinical practice in the context of older home care clients. This was a qualitative focus group study of nursing students ( = 9) who had completed clinical practice in older clients' home care. The data were analysed using inductive content analysis. The nursing students described their experiences regarding falls and fall prevention in older clients' home care from two perspectives: evaluation of falls at older people's homes and fall prevention during home visits. Systematic evaluation of falls was based on physical examination and is the basis of fall prevention. However, evaluation of nutrition and adverse drug effects seemed to be ignored. In addition, fall prevention during home visits included concrete fall prevention in authentic client situations, confidential relationships with older clients, and evidence-based knowledge. From the perspective of fall prevention, there was a lack of comprehensive evaluation and understanding of the meaning of psychological factors, such as fear of falling. In order to be able to prevent falls in the older client population, students need more guidance regarding a comprehensive approach based on evaluation of falls. In addition, there is a need for continuous collaboration between education and home care services to develop educational approaches that interlink knowledge and skills in fall prevention.

摘要

本研究旨在描述护理专业学生在老年居家护理客户背景下临床实习期间预防跌倒的经历。这是一项针对已完成老年客户居家护理临床实习的护理专业学生(n = 9)的定性焦点小组研究。采用归纳性内容分析法对数据进行分析。护理专业学生从两个角度描述了他们在老年客户居家护理中关于跌倒及预防跌倒的经历:对老年人家庭跌倒的评估以及家访期间的跌倒预防。对跌倒的系统评估基于体格检查,是预防跌倒的基础。然而,营养和药物不良反应的评估似乎被忽视了。此外,家访期间的跌倒预防包括在真实客户情境中具体的跌倒预防、与老年客户的保密关系以及循证知识。从预防跌倒的角度来看,对诸如害怕跌倒等心理因素的意义缺乏全面评估和理解。为了能够预防老年客户群体中的跌倒,学生们需要更多关于基于跌倒评估的综合方法的指导。此外,教育机构和居家护理服务机构之间需要持续合作,以开发将预防跌倒的知识和技能联系起来的教育方法。

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