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确定疗养院中与心力衰竭护理相关的关键教育重点:一种改良的德尔菲法。

Determining the Key Education Priorities Related to Heart Failure Care in Nursing Homes: A Modified Delphi Approach.

作者信息

McMahon James, Thompson David R, Brown Wilson Christine, Hill Loreena, Tierney Paul, Cameron Jan, Yu Doris S F, Moser Debra K, Spilsbury Karen, Srisuk Nittaya, Schols Jos M G A, van der Velden-Daamen Mariëlle, Mitchell Gary

机构信息

School of Nursing and Midwifery, Queen's University Belfast, Belfast BT9 7BL, UK.

School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC 3168, Australia.

出版信息

Healthcare (Basel). 2024 Aug 5;12(15):1546. doi: 10.3390/healthcare12151546.

Abstract

There is currently a limited understanding of what nurses in nursing homes view as the key education priorities to support their ability to provide the appropriate care for residents with heart failure (HF). A modified Delphi technique was utilized to gain a consensus on the key education priorities for nurses working in nursing homes in Northern Ireland. An initial list of items ( = 58), across 19 domains, was generated using the findings of a scoping review and stakeholder interviews, and a review of available clinical guidelines. Two rounds of surveys were undertaken. Items were presented using a 5-point Likert scale, with an additional exercise in the second round to rank the domains in order of importance. Fifty-four participants completed the first-round survey and 34 (63%) returned to complete the second. The findings highlight the importance of providing nurses in nursing home settings with general HF education and the delivery of person-centered care. Participants perceived education around technology for the management of HF and quality improvement or research methodologies associated with HF in nursing homes as lower priorities. This study illuminates key priorities from nursing home nurses regarding HF education that are applicable to this care setting.

摘要

目前,对于养老院护士认为哪些关键教育重点能够支持他们为心力衰竭(HF)患者提供适当护理的能力,人们的了解有限。采用了改良的德尔菲技术,以就北爱尔兰养老院护士的关键教育重点达成共识。利用范围审查和利益相关者访谈的结果以及对现有临床指南的审查,生成了一份包含19个领域的初始项目清单(n = 58)。进行了两轮调查。项目采用5点李克特量表呈现,第二轮还进行了一项额外活动,按重要性对各领域进行排序。54名参与者完成了第一轮调查,34人(63%)返回完成第二轮调查。研究结果凸显了为养老院护士提供一般心力衰竭教育以及提供以人为本护理的重要性。参与者认为,围绕心力衰竭管理技术以及养老院中与心力衰竭相关的质量改进或研究方法的教育优先级较低。本研究阐明了养老院护士关于心力衰竭教育的关键重点,这些重点适用于这种护理环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e1/11311690/9348d8d5ccb8/healthcare-12-01546-g001.jpg

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