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护理人员在老年康复中的目标设定和实现中的作用:一项焦点小组研究。

The Role of Nursing Staff Regarding Goal Setting and Achieving in Geriatric Rehabilitation: A Focus Group Study.

出版信息

Rehabil Nurs. 2023;48(5):148-159. doi: 10.1097/RNJ.0000000000000429. Epub 2023 Aug 15.

Abstract

PURPOSE

The aim of this study was to explore and clarify the role of nursing staff in geriatric rehabilitation on supporting patients in goal setting and achieving, through reflecting on rehabilitation interventions.

DESIGN

A descriptive qualitative study was conducted.

METHODS

We conducted four online focus group interviews with 23 members of the nursing staff working in geriatric rehabilitation. They reflected on six interventions, preclassified into three types: setting goals in the admission phase, increasing patient participation in order to personalize the rehabilitation trajectory, and supporting patients in working on short-term goals. Data were analyzed using thematic content analysis.

RESULTS

Setting goals in the admission phase is primarily the task of the multidisciplinary team rather than the nursing staff. Interventions to increase patient participation align with the coordinating role of nursing staff in the rehabilitation team. Working on short-term goals is of great value to patients.

CLINICAL RELEVANCE TO THE PRACTICE OF REHABILITATION NURSING

The connection between the patient's personal goals and professional treatment aimed at functional recovery can be enhanced by strengthening the position of nursing staff working in geriatric rehabilitation.

CONCLUSION

Members of nursing staff in geriatric rehabilitation see themselves playing a coordinating role in the multidisciplinary team, supporting the patient in goal work. Interventions aimed at advancing patient participation and providing support for short-term goals reinforce this role.

摘要

目的

本研究旨在通过反思康复干预措施,探讨并阐明老年康复护理人员在支持患者设定和实现目标方面的作用。

设计

描述性定性研究。

方法

我们对 23 名在老年康复机构工作的护理人员进行了 4 次在线焦点小组访谈,他们对 6 种干预措施进行了反思,这些干预措施预先分为 3 种类型:在入院阶段设定目标、增加患者参与度以实现康复轨迹个性化,以及支持患者实现短期目标。采用主题内容分析法进行数据分析。

结果

在入院阶段设定目标主要是多学科团队的任务,而不是护理人员的任务。增加患者参与度的干预措施与护理人员在康复团队中的协调角色相一致。短期目标的工作对患者非常有价值。

对康复护理实践的临床意义

通过加强老年康复护理人员的地位,可以增强患者个人目标与旨在实现功能恢复的专业治疗之间的联系。

结论

老年康复护理人员认为自己在多学科团队中发挥协调作用,支持患者进行目标工作。旨在提高患者参与度和为短期目标提供支持的干预措施强化了这一角色。

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