Providers' Perspectives on High-Quality Dementia Care in Long-Term Care.
Providers' Perspectives on High-Quality Dementia Care in Long-Term Care.
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提供者对长期护理中高质量痴呆症护理的看法。
DOI：
10.1016/j.jamda.2022.07.025
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发表时间：
2022
影响因子：
7.6
通讯作者：
Baier,RosaR
中科院分区：
文献类型：
--
作者：
Travers,JasmineL;Wittenberg,GraceF;Gifford,DavidR;Reddy,Ann;McLaughlin,MargueriteM;Baier,RosaR
ObjectivesTo understand dementia care providers' perspectives on high-quality care for persons living with dementia（PLWD）in long-term care（LTC）.DesignA qualitative study using a directed content analysis approach.Setting and PropantsNine national LTC dementia care providers.MethodsWe facilitated 5 listening sessions centered around dementia care philosophies，models，and practices.两名研究人员首先使用定向内容分析方法将定性数据映射到痴呆症护理的整体转型变革方法（HATCh）模型。然后，他们使用传统的分析方法确定了数据中出现的主题和次主题。他们迭代编码数据，并征求另外3名研究人员的意见，以在需要时达成共识。成员进行检查，以确保可信度的数据在2后续listeningsessions.ResultsThe 9与会者描述的重要性，了解PLWD的经验，以提供高质量的痴呆症护理，并提供这种护理与居民和他们的喜好为重点。他们强调，体验式教育对家庭和所有工作人员都至关重要，无论其角色如何。他们指出，需要平衡安全与居民的选择，以及相应的需要设施的领导和监管机构，以支持这种选择。倾听会议揭示了领域，以促进以人为本的护理PLWD，但也强调了障碍，以实现这一理念在LTC setting.Conclusions和ImplicationsEmergent的主题包括护理实践，居民的喜好为中心，并支持工作人员的经验教育和沟通技巧，必要的关系到和支持PLWD。这些研究结果为研究人员提供了背景信息，以确定和测试反映LTC提供者对PLWD的优先事项的干预措施，并强调需要将研究优先事项与提供者优先事项相结合。
ObjectivesTo understand dementia care providers’ perspectives on high-quality care for persons living with dementia (PLWD) in long-term care (LTC).DesignA qualitative study using a directed content analysis approach.Setting and ParticipantsNine national LTC dementia care providers.MethodsWe facilitated 5 listening sessions centered around dementia care philosophies, models, and practices. Two researchers first mapped qualitative data to the Holistic Approach to Transformational Change (HATCh) model for dementia care using a directed content analysis approach. They then identified themes and subthemes emerging from the data using a conventional analysis approach. They coded data iteratively and solicited input from 3 additional researchers to reach consensus where needed. Member checks were performed to ensure the trustworthiness of the data during 2 follow-up listening sessions.ResultsThe 9 participants described the importance of understanding the experiences of PLWDs in order to provide high-quality dementia care and to deliver such care with the residents and their preferences as the focus. They emphasized experiential education as essential for families and all staff, regardless of role. They noted the need to balance safety with resident choice, as well as the corresponding need for facility leadership and regulators to support such choices. The listening sessions revealed areas to foster person-centered care for PLWD, but also highlighted barriers to implementing this philosophy in LTC settings.Conclusions and ImplicationsEmergent themes included care practices that center on resident preferences and are supported by staff with the experiential education and communication skills necessary to relate to and support PLWD. These findings provide contextual information for researchers seeking to identify and test interventions that reflect LTC providers’ priorities for PLWD and emphasize the need to align research priorities with provider priorities.