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提高临终关怀质量的工具包:实施情况与影响研究

A Toolkit for Enhancing End-of-Life Care: An Examination of Implementation and Impact.

作者信息

Loeb Susan J, Wion Rachel K, Penrod Janice, McGhan Gwen, Kitt-Lewis Erin, Hollenbeak Christopher S

机构信息

Penn State College of Nursing, University Park, PA, USA.

The University of Calgary, CA.

出版信息

Prison J. 2018 Jan;98(1):104-118. doi: 10.1177/0032885517743933. Epub 2017 Nov 28.

Abstract

The purpose of this study was to examine the infusion of a Toolkit for Enhancing End-of-Life Care in prisons, as well as the outcome and impact on the quality of prison end-of-life care. A total of 74 front-line staff and administrators were in attendance across two post-Toolkit-infusion evaluation visits. Applying qualitative analysis, co-researcher outcome findings were related to activities, community outreach and relations, multidisciplinary team, quality improvement approach, and participatory action research team effects. Organizational outcomes included barriers and challenges, cost, organizational features, sphere of influence, readiness (for change), and sustainability.

摘要

本研究的目的是考察在监狱中推行一套《改善临终关怀工具包》的情况,以及该工具包对监狱临终关怀质量的成效和影响。在两次工具包推行后评估访问中,共有74名一线工作人员和管理人员参与。通过定性分析,共同研究者得出的结果与活动、社区外展与关系、多学科团队、质量改进方法以及参与式行动研究团队的效果有关。组织层面的结果包括障碍与挑战、成本、组织特征、影响范围、(变革)准备情况以及可持续性。

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