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家庭照顾者对与医院护士合作程度的感知:一项横断面研究。

Family caregivers' perceived level of collaboration with hospital nurses: A cross-sectional study.

机构信息

Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.

Department of Health Psychology, University Medical Center, University of Groningen, Groningen, The Netherlands.

出版信息

J Nurs Manag. 2021 Jul;29(5):1064-1072. doi: 10.1111/jonm.13244. Epub 2021 Jan 19.

Abstract

AIM

To describe the extent of perceived collaboration between family caregivers of older persons and hospital nurses.

BACKGROUND

Collaboration between hospital nurses and family caregivers is of increasing importance in older patient's care. Research lacks a specific focus on family caregiver's collaboration with nurses.

METHOD

Using a cross-sectional design, 302 caregivers of older patients (≥70 years) completed the 20-item Family Collaboration Scale with the subscales: trust in nursing care, accessible nurse and influence on decisions. Data were analysed with descriptive statistics and bivariate correlations.

RESULTS

Family caregivers rated their level of trust in nurses and nurses' accessibility higher than the level of their influence on decisions. Family caregivers who had more contact with nurses perceived higher levels of influence on decisions (p ≤ .001) and overall collaboration (p ≤ .001).

CONCLUSION

Family caregivers' collaboration with nurses can be improved, especially in recognizing and exploiting family caregivers as partner in the care for older hospitalized persons and regarding their level of influence on decisions.

IMPLICATIONS FOR NURSING MANAGEMENT

Insight into family caregivers' collaboration with nurses will help nurse managers to jointly develop policy with nurses on how to organise more family caregivers' involvement in the standard care for older persons.

摘要

目的

描述老年患者的家庭成员照顾者与医院护士之间的协作程度。

背景

在老年患者的护理中,医院护士与家庭照顾者之间的协作变得越来越重要。但研究缺乏对家庭照顾者与护士合作的具体关注。

方法

采用横断面设计,302 名老年患者(≥70 岁)的照顾者完成了 20 项家庭协作量表,包括信任护理、护士可及性和对决策的影响三个分量表。使用描述性统计和双变量相关性分析来分析数据。

结果

家庭照顾者对护士的信任和护士的可及性评分高于对决策的影响评分。与护士接触较多的家庭照顾者认为对决策(p≤.001)和整体协作(p≤.001)的影响程度更高。

结论

可以改善家庭照顾者与护士的协作,特别是在承认和利用家庭照顾者作为老年住院患者护理的合作伙伴方面,并提高他们对决策的影响程度。

对护理管理的意义

了解家庭照顾者与护士的协作情况将有助于护理管理人员与护士共同制定政策,以组织更多的家庭照顾者参与老年人的标准护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ae/8359371/3f0814b56a1c/JONM-29-1064-g001.jpg

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