在加拿大推出“合十礼关怀”：培训课程的结果以及对晚期痴呆症患者临终关怀项目的初步看法。
Launching 'Namaste Care' in Canada: findings from training sessions and initial perceptions of an end-of-life programme for people with advanced dementia.
作者信息
Kaasalainen Sharon, Hunter Paulette V, Hill Courtney, Moss Rachel, Kim Joy, van der Steen Jenny T, Dal-Bello Haas Vanina, Hadjistavropoulos Thomas
机构信息
Professor, Faculty of Health Sciences, McMaster University, Canada.
Associate Professor, University of Saskatchewan Saskatoon, Canada.
出版信息
J Res Nurs. 2019 Sep;24(6):403-417. doi: 10.1177/1744987119832932. Epub 2019 Sep 6.
BACKGROUND
Multisensory approaches and programmes have been developed to improve the quality of both life and dying for people with advanced dementia. However, little is known about the experiences of staff, family and others involved in the use of these programmes, and in the relevant education provided to improve the quality of life of residents living with advanced dementia in long-term care homes.
AIM
The aim of this study was to explore early experiences associated with the implementation of a new programme called 'Namaste Care' in two Canadian long-term care homes.
METHODS
A multiple methods design was used. This included a survey to evaluate a 2-day education programme and qualitative description of interview data that explored experiences during the first 3 months of implementation.
RESULTS
Survey respondents included 44 long-term care staff and 44 others (primarily family) who had attended a 2-day training session or public lecture. Interviews were undertaken with 18 staff, 5 family members and 2 volunteers to generate qualitative descriptions about the last 3 months of implementation of the 2-day education programme. The majority of those who attended training rated this as excellent and affirmed that they now understood the purpose of 'Namaste Care'. Most endorsed that they had learned some essentials of 'Namaste Care' delivery. The majority of those who attended the public lecture were very satisfied with the education, and better understood how this novel programme could be implemented in long-term care. Qualitative description of interview data revealed that participants were positive about 'Namaste Care' in long-term care, and identified both barriers and facilitators to implementation as well as recommendations to help with future implementation.
CONCLUSIONS
These study findings support the use of a facility-wide educational programme to help launch a new innovation in long-term care.
背景
已开发出多感官方法和方案，以改善晚期痴呆症患者的生活质量和临终质量。然而，对于参与这些方案使用的工作人员、家属及其他人的经历，以及为提高长期护理机构中晚期痴呆症患者生活质量而提供的相关教育情况，我们了解甚少。
目的
本研究的目的是探讨在加拿大两家长期护理机构实施一项名为“合十礼关怀”的新方案的早期经历。
方法
采用多种方法设计。这包括一项评估为期两天的教育方案的调查，以及对访谈数据的定性描述，该访谈数据探讨了实施的前三个月的经历。
结果
调查对象包括44名长期护理工作人员和44名其他人（主要是家属），他们参加了为期两天的培训课程或公开讲座。对18名工作人员、5名家庭成员和2名志愿者进行了访谈，以生成关于为期两天的教育方案实施的最后三个月的定性描述。大多数参加培训的人将其评为优秀，并确认他们现在理解了“合十礼关怀”的目的。大多数人认可他们学到了“合十礼关怀”实施的一些要点。大多数参加公开讲座的人对该教育非常满意，并且更好地理解了如何在长期护理中实施这个新颖的方案。访谈数据的定性描述显示，参与者对长期护理中的“合十礼关怀”持积极态度，并确定了实施的障碍和促进因素以及有助于未来实施的建议。
结论
这些研究结果支持使用全机构范围的教育方案来帮助在长期护理中推出一项新的创新举措。
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