Marion Cecilia, Manji Shazmin, Podlosky Linda, MacGillivray Heather, L'Heureux Tanya, Anderson Sharon, Parmar Jasneet
Covenant Health Canada, Youville Home, St. Albert, AB T8N 1K1, Canada.
Family Caregiver, University of Alberta, Edmonton, AB T6G 2T4, Canada.
Healthcare (Basel). 2024 Feb 22;12(5):523. doi: 10.3390/healthcare12050523.
The COVID-19 pandemic underscored the imperative for meaningful family involvement in long-term care, aligning with policy and safety standards while enhancing outcomes for caregivers, residents, and staff. The objectives of this article are as follows: (1) a case study report on implementing a family involvement intervention designed to facilitate the formal and safe engagement of family caregivers in resident care and (2) the pilot evaluation of the intervention. We used Knapp's six-step implementation science model to guide and describe intervention development to provide insight for others planning family involvement projects. We employed sequential mixed methods, including surveys with quantitative and qualitative questions before and after program implementation for providers, and surveys and interviews with family caregivers a year after. We used the Mann-Whitney U test ( < 0.05) to assess differences in health providers' perceptions pre- and post-education. Families and staff perceived that the Family Involvement Program was important for improving the quality of care, residents' quality of life and family/staff relationships. Providers' perceptions of the program's positive impact on residents' quality of life ( = 0.020) and quality of care ( = 0.010), along with their satisfaction with working relationships with families ( = 0.039), improved significantly after the program. Qualitative data confirmed improvements in family-staff relationships. In conclusion, we documented the design of this family involvement initiative to encourage family caregivers and staff to work together in residents' care. Youville's Family Involvement Program gives families and family caregivers an explicit role as partners in long-term care. The mixed methods pilot evaluation documented improvements in staff and family relationships.
新冠疫情凸显了家庭有意义地参与长期护理的必要性，这既符合政策和安全标准，又能提升护理人员、居民和工作人员的相关成果。本文的目标如下：（1）一份关于实施家庭参与干预措施的案例研究报告，该干预措施旨在促进家庭护理人员正式且安全地参与居民护理；（2）对该干预措施进行试点评估。我们使用克纳普的六步实施科学模型来指导并描述干预措施的制定，以便为其他规划家庭参与项目的人提供见解。我们采用了顺序混合方法，包括在项目实施前后对提供者进行带有定量和定性问题的调查，以及在一年后对家庭护理人员进行调查和访谈。我们使用曼-惠特尼U检验（<0.05）来评估医疗服务提供者在教育前后认知上的差异。家庭和工作人员认为家庭参与计划对于提高护理质量、居民生活质量以及家庭/工作人员关系很重要。在项目实施后，提供者对该计划对居民生活质量（=0.020）和护理质量（=0.010）的积极影响，以及他们对与家庭工作关系的满意度（=0.039）都有显著提高。定性数据证实了家庭与工作人员关系的改善。总之，我们记录了这一家庭参与倡议的设计，以鼓励家庭护理人员和工作人员共同参与居民护理。尤维尔家庭参与计划赋予家庭和家庭护理人员在长期护理中作为合作伙伴的明确角色。混合方法试点评估记录了工作人员与家庭关系的改善情况。
