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针对智力和发育障碍个体的个性化参与式护理计划:一项质性描述性研究。

Individualized participatory care planning for individuals with intellectual and developmental disabilities: a qualitative descriptive study.

作者信息

Dong Megann Y, Meredith Leslie, Forrester-Jones Rachel, Kothari Anita, Ryan Dana, Ryan Bridget L, Mathews Maria, Sibbald Shannon L

机构信息

Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, N6G 2M1, Canada.

School of Health Studies, Faculty of Health Sciences, Western University, London, ON, N6A 3K7, Canada.

出版信息

BMC Health Serv Res. 2024 Dec 5;24(1):1547. doi: 10.1186/s12913-024-12009-5.

Abstract

BACKGROUND

Goal setting for persons within health and social care environments can be a challenging task; although health and social care settings aim to address a person's care needs, the literature tends to focus on health. Person-centred care should encompass the goals/needs/wants of the person, whether these goals focus on career, relationship, and/or health domains. To understand how a person-centred participatory goal setting process is carried out in a care environment, we used an integrated knowledge translation approach.

METHODS

We conducted 11 semi-structured interviews with community-care staff to understand a person-centred planning process, including key components and impacts.

RESULTS

The interviews provide a thorough understanding of an implemented approach to person-centred plans, including its creation, implementation, and benefits (for the person-supported, family, friends, and staff). Person-centred plans provide a map with which to plan activities based on a persons' goals, interests, and capacities, and have positive impacts for the person-supported, family, friends, and staff.

CONCLUSIONS

Our study highlights how a community-care organization can facilitate person-centred services through person-centred plans and has implications for wider uptake of person-centred plans in community-care organizations.

摘要

背景

在健康和社会护理环境中为个人设定目标可能是一项具有挑战性的任务;尽管健康和社会护理机构旨在满足个人的护理需求,但文献往往侧重于健康方面。以个人为中心的护理应涵盖个人的目标、需求和愿望,无论这些目标是侧重于职业、人际关系还是健康领域。为了了解在护理环境中如何开展以个人为中心的参与式目标设定过程,我们采用了综合知识转化方法。

方法

我们对社区护理人员进行了11次半结构化访谈,以了解以个人为中心的规划过程,包括关键组成部分和影响。

结果

访谈使我们对实施以个人为中心计划的方法有了全面了解,包括其制定、实施以及(对受支持的个人、家人、朋友和工作人员)带来的益处。以个人为中心的计划提供了一个依据个人目标、兴趣和能力来规划活动的蓝图,对受支持的个人、家人、朋友和工作人员都有积极影响。

结论

我们的研究凸显了社区护理组织如何通过以个人为中心的计划来促进以个人为中心的服务,并且对社区护理组织更广泛地采用以个人为中心的计划具有启示意义。

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