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医护人员对“PACE 迈向成功”长期护理姑息治疗方案的看法：瑞士的一项定性研究。

Perceptions of healthcare professional about the "PACE Steps to Success" palliative care program for long-term care: A qualitative study in Switzerland.

机构信息

HE-Arc Santé, HES-SO University of Applied Sciences and Arts, Delemont, Switzerland.

Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Nurs Open. 2023 Jul;10(7):4413-4423. doi: 10.1002/nop2.1683. Epub 2023 Feb 25.

DOI:10.1002/nop2.1683
PMID:36840609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10277407/
Abstract

AIM

This study aimed to examine the healthcare professionals' perceptions after implementing the "PACE Steps to Success" program in the French-speaking part of Switzerland.

DESIGN

A qualitative descriptive study.

METHODS

Thematic analysis of semi-structured face-to-face and group interviews with health professionals, PACE coordinators, and managers purposely invited in the four long-term home facilities that had previously participated in the PACE cluster randomized clinical trial intervention group.

RESULTS

The PACE program implementation has improved communication with residents regarding end-of-life issues and helped identify patients' needs. The introduction of codified tools can complete internal tools and support decision-making. In addition, the training has promoted inter-professional collaboration, particularly in the case of care assistants, by defining each profession's specific responsibilities in providing care for older adults.

摘要

目的

本研究旨在探讨瑞士法语区实施“PACE 成功步骤”项目后医疗保健专业人员的认知。

设计

定性描述性研究。

方法

对之前参加过 PACE 整群随机临床试验干预组的 4 家长期家庭护理机构中的卫生专业人员、PACE 协调员和管理人员进行面对面和小组访谈的主题分析，访谈是半结构化的。

结果

PACE 项目的实施改善了与临终患者的沟通，并有助于确定患者的需求。引入规范工具可以完善内部工具并支持决策。此外，培训促进了专业间的合作，特别是在护理助理方面，明确了各专业在为老年人提供护理方面的具体责任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7e/10277407/271dc4c87ceb/NOP2-10-4413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7e/10277407/086295c467f5/NOP2-10-4413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7e/10277407/271dc4c87ceb/NOP2-10-4413-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7e/10277407/086295c467f5/NOP2-10-4413-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba7e/10277407/271dc4c87ceb/NOP2-10-4413-g001.jpg

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Implement Sci. 2019 Dec 19;14(1):107. doi: 10.1186/s13012-019-0953-8.
2
Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial.评估 7 个国家养老院姑息治疗项目：PACE 集群随机临床试验。
JAMA Intern Med. 2020 Feb 1;180(2):233-242. doi: 10.1001/jamainternmed.2019.5349.
3
A framework for cross-cultural development and implementation of complex interventions to improve palliative care in nursing homes: the PACE steps to success programme.
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BMC Health Serv Res. 2019 Oct 24;19(1):745. doi: 10.1186/s12913-019-4587-y.
4
Palliative care provision in long-term care facilities differs across Europe: Results of a cross-sectional study in six European countries (PACE).长期护理机构中的姑息治疗提供情况在欧洲各国有所不同：六个欧洲国家（PACE）的一项横断面研究结果。
Palliat Med. 2019 Oct;33(9):1176-1188. doi: 10.1177/0269216319861229. Epub 2019 Jul 1.
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Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries.长期护理环境中临终关怀沟通的护理人员自我效能感：PACE 跨六个欧洲国家的横断面研究结果。
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