Grealish Laurie, Todd Jo-Anne, Teodorczuk Andrew, Krug Maree, Simpson Toni, Jenkinson Kim, Soltau Dawn, Stockwell-Smith Gillian
Menzies Health Institute Queensland, Griffith University, Parklands Drive, Southport, QLD 4222, Australia.
Gold Coast Hospital and Health Services, 1 Hospital Boulevard, Southport, QLD 4215, Australia.
Int J Nurs Stud Adv. 2021 Jul 17;3:100040. doi: 10.1016/j.ijnsa.2021.100040. eCollection 2021 Nov.
The personal profile offers a potentially useful tool to support person-centred care of people living with dementia in hospital. To date, how profiles can be implemented into nurses' work practices is not established.
The aim is to establish the feasibility of a Person-Centred Care package, including a personal profile and staff education program to enhance implementation.
Exploratory convergent mixed methods approach.
Four units of a tertiary health service, two intervention units and two comparison units set in southeast Queensland, Australia.
Person living with dementia and family carer dyads and staff.
Practicality was determined using participation logs, audit and review of meeting minutes. Acceptability was determined using interviews with family carers and nursing staff. Efficacy was evaluated using pre-post comparison survey design, assessing staff knowledge using the Dementia Knowledge Assessment Scale and person-centred care using the Person-centredness of Older People with cognitive impairment in Acute Care-revised scale.
Practically, the personal profile was distributed to 95 and 73% of patients in the two intervention units. Of the 18 people living with dementia who consented to participate, only 6 (33%) had a This is Me form completed. The three-part education program was well attended ( = 190 participants). In terms of acceptability, carers' ( = 5) experienced variable quality of engagement from nurses. In interviews, nurses ( = 18) experienced increased confidence to engage carers, in part attributed to local leadership, but attitudes towards care appeared to be influenced by perceived time constraints. For efficacy, completion of both surveys at all time points and in all units was 50% and higher. Dementia knowledge significantly improved in the intervention group ( < .01) however there was no difference in self-ratings of person-centred care.
The feasibility of a Person-Centred Care package, including a personal profile and a focused program of staff education was partially achieved, with the education component adopted into the organisation's continuing education program. Implementation research is required to enhance the element of coherence, how completing the personal profile is an investment in person-centred care rather than simply completing another form.
个人资料提供了一个潜在有用的工具，以支持医院中对痴呆症患者的以人为本的护理。迄今为止，如何将个人资料纳入护士的工作实践尚未确定。
旨在确定一个以人为本的护理包的可行性，包括个人资料和员工教育计划，以加强实施。
探索性收敛混合方法。
澳大利亚昆士兰州东南部一家三级医疗服务机构的四个科室，两个干预科室和两个对照科室。
痴呆症患者与家庭照顾者配对以及工作人员。
通过参与日志、会议记录的审核和审查来确定实用性。通过对家庭照顾者和护理人员的访谈来确定可接受性。使用前后比较调查设计评估效果，使用痴呆症知识评估量表评估工作人员的知识，使用急性护理中认知障碍老年人的以人为本修订量表评估以人为本的护理。
实际上，个人资料分发给了两个干预科室中95%和73%的患者。在同意参与的18名痴呆症患者中，只有6人（33%）填写了“这就是我”表格。三部分的教育计划参与度很高（n = 190名参与者）。在可接受性方面，照顾者（n = 5）体验到护士参与的质量参差不齐。在访谈中，护士（n = 18）对与照顾者互动的信心有所增强，部分归因于当地的领导，但对护理的态度似乎受到感知到的时间限制的影响。在效果方面，所有时间点和所有科室完成两项调查的比例均为50%及以上。干预组的痴呆症知识有显著改善（P <.01），但以人为本护理的自我评分没有差异。
包括个人资料和重点员工教育计划在内的以人为本的护理包的可行性部分实现，教育部分被纳入该组织的继续教育计划。需要进行实施研究，以增强连贯性要素，即填写个人资料如何是对以人为本护理的一种投入，而不仅仅是填写另一份表格。
