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“很多人认为这只是一个微不足道的角色”:二级保健和社区医院环境中痴呆症支持工作者的角色模糊性。

'A lot of people think it's just a Mickey Mouse role': Role ambiguity among dementia support workers within secondary care and community hospital settings.

机构信息

School of Medical and Health Sciences, Bangor University, Bangor, UK.

Betsi Cadwaladr University Health Board, Bangor, UK.

出版信息

Dementia (London). 2024 Feb;23(2):191-209. doi: 10.1177/14713012231220461. Epub 2023 Dec 15.

Abstract

Dementia support workers (DSWs) are employed to improve the hospital care for patients living with dementia. An evaluation sought to understand the perspectives and experiences of DSWs and related healthcare practitioners within one health board, to identify any role ambiguity and inform future role development. Framework analysis was used to synthesise data from semi-structured interviews and focus groups with dementia support workers, and a wider group of related healthcare practitioners. Thirteen semi-structured interviews were conducted with DSWs. Two focus groups were held with DSWs ( = 2 and 4) and two with associated healthcare practitioners ( = 3 and 5). Participants described inconsistencies in the understanding and delivery of the DSW role. Role ambiguity was identified as a key theme. This paper offers insight into challenges experienced by DSWs and addresses factors that could help improve and support the DSW role, and potentially the experience of other staff, and patients/people living with dementia. Overall, this evaluation highlights both the value of the DSW role in supporting the needs of patients/people living with dementia and the potential for person-centred activities to be used as therapeutic interventions.

摘要

痴呆症支持工作者(DSWs)受雇于改善患有痴呆症的患者的医院护理。一项评估旨在了解一个卫生委员会内 DSW 及其相关医疗保健从业者的观点和经验,以确定任何角色模糊性并为未来的角色发展提供信息。使用框架分析对与痴呆症支持工作者和更广泛的相关医疗保健从业者进行的半结构化访谈和焦点小组的数据进行综合。对 DSW 进行了 13 次半结构化访谈。与 DSW(= 2 和 4)进行了两次焦点小组讨论,与相关医疗保健从业者(= 3 和 5)进行了两次焦点小组讨论。参与者描述了对 DSW 角色的理解和执行存在不一致。角色模糊被确定为一个关键主题。本文深入探讨了 DSW 所面临的挑战,并探讨了有助于改善和支持 DSW 角色的因素,以及可能改善其他员工和痴呆症患者/人的体验的因素。总的来说,这项评估突出了 DSW 在满足痴呆症患者/人需求方面的价值,以及将以人为本的活动用作治疗干预的潜力。

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