Damiaens Amber, Van Hecke Ann, Foulon Veerle
Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
Department of Public Health and Primary Care, UGent, Department of Nursing director, Ghent University Hospital, Ghent, Belgium.
PEC Innov. 2023 Aug 1;3:100195. doi: 10.1016/j.pecinn.2023.100195. eCollection 2023 Dec 15.
To develop and evaluate a tool to inform and empower nursing home (NH) residents and informal caregivers regarding the medicines' pathway.
Feedback on the tool's text, drafted by the research team, was collected from a professional organization; the lay-out was designed by an illustrator. The tool was pilot tested in NHs, focusing on feasibility, appropriateness, and meaningfulness. Semi-structured interviews and focus groups with residents, informal caregivers, and healthcare professionals were performed, as well as document analysis. Qualitative data were analyzed inductively.
The RESPECT-brochure was developed and described each process of the medicines' pathway. Piloting showed that the tool was well perceived among residents and informal caregivers and offered opportunities to discuss medication-related questions and concerns, but that skills to tailor the conversation, especially given the changing NH population, a matching vision and local champion are required for the tool's uptake.
An informative and empowering tool has been successfully developed and pilot tested in NHs. Future research should investigate which strategies for implementation work best and can explore the impact of the tool's use in daily practice.
The tool is the first in its kind and grants nursing home staff a new strategy to promote person-centered care.
开发并评估一种工具，以使养老院居民和非正式照护者了解用药流程并增强他们在这方面的能力。
研究团队起草了该工具的文本内容，并收集了一个专业组织的反馈意见；其版面设计由一位插画师完成。该工具在养老院进行了试点测试，重点关注可行性、适用性和意义。对居民、非正式照护者和医护专业人员进行了半结构化访谈和焦点小组讨论，并进行了文档分析。对定性数据进行了归纳分析。
开发了《尊重手册》，并描述了用药流程的每个环节。试点表明，该工具在居民和非正式照护者中得到了良好的认可，并为讨论与药物相关的问题和担忧提供了机会，但要根据不同情况调整谈话方式，特别是考虑到养老院居民情况的变化，该工具的推广需要有一致的愿景和当地的倡导者。
已成功开发出一种信息丰富且能增强能力的工具，并在养老院进行了试点测试。未来的研究应调查哪种实施策略效果最佳，并探讨该工具在日常实践中的使用影响。
该工具是同类工具中的首个，为养老院工作人员提供了一种促进以患者为中心的护理的新策略。
