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探讨使用老化模拟来使护士能够深入了解老年人的感受。

Exploring the use of ageing simulation to enable nurses to gain insight into what it is like to be an older person.

机构信息

Faculty of Science, Medicine and Health, School of Nursing, University of Wollongong, Wollongong, NSW, Australia.

Illawarra Shoalhaven Local Health District, Bulli, NSW, Australia.

出版信息

J Clin Nurs. 2020 Dec;29(23-24):4561-4572. doi: 10.1111/jocn.15484. Epub 2020 Sep 23.

DOI:10.1111/jocn.15484
PMID:32890451
Abstract

AIM AND OBJECTIVES

To explore the thoughts and experiences of aged care nurses following participation in an ageing-suit simulation intervention.

BACKGROUND

Globally, people are living longer, and for nurses, there are increasing challenges to meet the needs of the higher numbers of older people in hospital. Educating nurses to understand the ageing process and the experiences of older people in hospital is crucial to addressing these challenges. Ageing-suits were identified as a possible approach to assist with these educational needs.

DESIGN

This study adopted a qualitative descriptive design.

METHOD

A convenience sample of nurses (n = 15) were selected from a single aged care ward. Volunteered nurses participated in a four-hour ageing-suit simulation session. Their immediate thoughts and experiences were explored via postsimulation debriefs, and three 30-to 50-min follow-up focus groups were conducted at 3 months to explore perceptions on the impact of their experience on clinical practices. The data were analysed with the Braun and Clarke's six-step thematic analysis method. To ensure quality reporting of this study, the COREQ checklist was utilised (see Appendix S1).

RESULTS

Data analysis generated three main themes. Nurses in the study highlighted that the experience of the ageing-suit resulted in "it feels real" (theme 1) and helped them in "enhancing understanding" (theme 2) about older people and their practices and supported a process of "changing me" (theme 3).

CONCLUSION

Ageing-suits are emerging as a promising innovative educational approach for aged care nurses to gain insight into the challenges of ageing and subsequently making changes to themselves and their individualised practices towards older people. Future research is required to determine whether this educational approach is useful for a broader population of healthcare professionals.

RELEVANCE TO CLINICAL PRACTICE

Ageing-suits were identified as a worthwhile educational approach for aged care nurses to improve their specialised clinical practices with older people.

摘要

目的和目标

探索参与老化服模拟干预后老年护理护士的想法和经验。

背景

在全球范围内,人们的寿命越来越长,对于护士来说,满足医院中越来越多老年人的需求面临着越来越多的挑战。教育护士了解老龄化过程和老年人在医院中的体验对于应对这些挑战至关重要。老化服被认为是一种可能的方法来满足这些教育需求。

设计

本研究采用定性描述设计。

方法

从一个单一的老年护理病房中选择了 15 名护士作为方便样本。志愿者护士参加了四个小时的老化服模拟会议。通过模拟后简报立即探讨他们的即时想法和经验,并在 3 个月时进行了三次 30 至 50 分钟的后续焦点小组,以探讨他们对体验对临床实践的影响的看法。使用 Braun 和 Clarke 的六步主题分析方法对数据进行分析。为了确保对本研究的高质量报告,使用了 COREQ 清单(见附录 S1)。

结果

数据分析生成了三个主要主题。研究中的护士强调,老化服的体验导致了“感觉真实”(主题 1),并帮助他们“增强理解”(主题 2)关于老年人及其实践,并支持“改变我”的过程(主题 3)。

结论

老化服作为一种有前途的创新教育方法,正在为老年护理护士提供深入了解老龄化挑战的机会,从而使他们自身及其针对老年人的个性化实践发生变化。需要进一步研究确定这种教育方法是否对更广泛的医疗保健专业人员有用。

相关性到临床实践

老化服被确定为老年护理护士改善其针对老年人的专业临床实践的一种有价值的教育方法。

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