Suppr超能文献

护理人员在急性后期家庭医疗环境中接受培训与支持的经历。

Caregivers' Experiences Regarding Training and Support in the Post-Acute Home Health-Care Setting.

作者信息

Chase Jo-Ana D, Russell David, Rice Meridith, Abbott Carmen, Bowles Kathryn H, Mehr David R

机构信息

Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.

Department of Sociology, Appalachian State University, Boone, NC, USA.

出版信息

J Patient Exp. 2020 Aug;7(4):561-569. doi: 10.1177/2374373519869156. Epub 2019 Aug 21.

Abstract

BACKGROUND

Post-acute home health-care (HHC) services provide a unique opportunity to train and support family caregivers of older adults returning home after a hospitalization. To enhance family-focused training and support strategies, we must first understand caregivers' experiences.

OBJECTIVE

To explore caregivers' experiences regarding training and support for managing older adults' physical functioning (PF) needs in the post-acute HHC setting.

METHOD

We conducted a qualitative descriptive study using semi-structured telephone interviews of 20 family caregivers. Interviews were recorded, transcribed, and analyzed using conventional content analysis.

RESULTS

We identified the following primary categories: facilitators to learning (eg, past experience, learning methods), barriers to learning (eg, learning on their own, communication, timing/logistics, preferred information and timing of information delivery), and interactions with HHC providers (eg, positive/negative interactions, provider training and knowledge).

CONCLUSION

Caregivers were responsive to learning strategies to manage older adults' PF needs and, importantly, voiced ideas to improve family-focused training and support. HHC providers can use these findings to tailor training and support of family caregivers in the post-acute HHC setting.

摘要

背景

急性后期家庭医疗保健(HHC)服务为培训和支持住院后回家的老年人的家庭护理人员提供了独特的机会。为了加强以家庭为中心的培训和支持策略,我们必须首先了解护理人员的经历。

目的

探讨在急性后期家庭医疗保健环境中,护理人员在管理老年人身体功能(PF)需求方面的培训和支持经历。

方法

我们进行了一项定性描述性研究,通过半结构化电话访谈20名家庭护理人员。访谈进行录音、转录,并使用常规内容分析法进行分析。

结果

我们确定了以下主要类别:学习促进因素(如过去的经验、学习方法)、学习障碍(如自主学习、沟通、时间安排/后勤、首选信息和信息传递时间)以及与家庭医疗保健提供者的互动(如积极/消极互动、提供者培训和知识)。

结论

护理人员对管理老年人身体功能需求的学习策略反应积极,重要的是,他们提出了改进以家庭为中心的培训和支持的想法。家庭医疗保健提供者可以利用这些研究结果,在急性后期家庭医疗保健环境中为家庭护理人员量身定制培训和支持。

相似文献

1
Caregivers' Experiences Regarding Training and Support in the Post-Acute Home Health-Care Setting.
J Patient Exp. 2020 Aug;7(4):561-569. doi: 10.1177/2374373519869156. Epub 2019 Aug 21.
2
Caregivers' Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care.
Res Gerontol Nurs. 2019 Jul 1;12(4):174-183. doi: 10.3928/19404921-20190319-01. Epub 2019 Mar 25.
3
"Doing the Right Thing": Family Caregivers Managing Medical and Nursing Tasks in the Postacute Home Health Care Setting.
J Appl Gerontol. 2021 Dec;40(12):1786-1795. doi: 10.1177/0733464820961259. Epub 2020 Sep 27.
4
Barriers and facilitators to family caregiver training during home health care: A multisite qualitative analysis.
J Am Geriatr Soc. 2022 May;70(5):1325-1335. doi: 10.1111/jgs.17762. Epub 2022 Mar 30.
5
"Second set of eyes:" Family caregivers and post-acute home health care during the COVID-19 pandemic.
Patient Educ Couns. 2023 Apr;109:107627. doi: 10.1016/j.pec.2023.107627. Epub 2023 Jan 10.
7
Family Caregivers' Conceptions of Trust in Home Health Care Providers.
Res Gerontol Nurs. 2021 Jul-Aug;14(4):200-210. doi: 10.3928/19404921-20210526-01. Epub 2021 Jul 1.
8
Improving a Web-Based Tool to Support Older Adults to Stay Independent at Home: Qualitative Study.
JMIR Mhealth Uhealth. 2020 Jul 22;8(7):e16979. doi: 10.2196/16979.
9
Unmet family caregiver training needs associated with acute care utilization during home health care.
J Am Geriatr Soc. 2021 Jul;69(7):1887-1895. doi: 10.1111/jgs.17138. Epub 2021 Mar 26.
10
A qualitative study of home health care experiences among Chinese homebound adults.
BMC Geriatr. 2021 May 13;21(1):309. doi: 10.1186/s12877-021-02258-y.

引用本文的文献

3
Concept analysis of patient safety in home care: a hybrid model.
BMJ Open Qual. 2022 Dec;11(4). doi: 10.1136/bmjoq-2022-002077.
5
Unmet Caregiving Needs Among Sepsis Survivors Receiving Home Health Care: The Need for Caregiver Training.
J Appl Gerontol. 2022 Oct;41(10):2180-2186. doi: 10.1177/07334648221104084. Epub 2022 May 20.
6
Barriers and facilitators to family caregiver training during home health care: A multisite qualitative analysis.
J Am Geriatr Soc. 2022 May;70(5):1325-1335. doi: 10.1111/jgs.17762. Epub 2022 Mar 30.
7
Current practices of family caregiver training during home health care: A qualitative study.
J Am Geriatr Soc. 2022 Jan;70(1):218-227. doi: 10.1111/jgs.17492. Epub 2021 Oct 7.
8
Patient Factors Linked with Return Acute Healthcare Use in Older Adults by Discharge Disposition.
J Am Geriatr Soc. 2020 Oct;68(10):2279-2287. doi: 10.1111/jgs.16645. Epub 2020 Jul 16.

本文引用的文献

1
Caregivers' Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care.
Res Gerontol Nurs. 2019 Jul 1;12(4):174-183. doi: 10.3928/19404921-20190319-01. Epub 2019 Mar 25.
2
Unmet needs of family caregivers of hospitalized older adults preparing for discharge home.
Chronic Illn. 2020 Jun;16(2):131-145. doi: 10.1177/1742395318789467. Epub 2018 Aug 4.
5
Care Transitions From Patient and Caregiver Perspectives.
Ann Fam Med. 2018 May;16(3):225-231. doi: 10.1370/afm.2222.
6
Home health nurse decision-making regarding visit intensity planning for newly admitted patients: a qualitative descriptive study.
Home Health Care Serv Q. 2018 Jul-Sep;37(3):211-231. doi: 10.1080/01621424.2018.1456997. Epub 2018 Apr 13.
7
Technology Solutions to Support Care Continuity in Home Care: A Focus Group Study.
J Healthc Qual. 2018 Jul/Aug;40(4):236-246. doi: 10.1097/JHQ.0000000000000104.
8
Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine.
Gerontologist. 2017 Oct 1;57(5):e85-e93. doi: 10.1093/geront/gnw206.
9
Characteristics of Qualitative Descriptive Studies: A Systematic Review.
Res Nurs Health. 2017 Feb;40(1):23-42. doi: 10.1002/nur.21768. Epub 2016 Sep 30.
10
Family caregivers as partners in care transitions: The caregiver advise record and enable act.
J Hosp Med. 2016 Dec;11(12):883-885. doi: 10.1002/jhm.2637. Epub 2016 Jul 5.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验