Rehabilitation Practitioners' Prioritized Care Processes in Hip Fracture Post-Acute Care
Rehabilitation Practitioners' Prioritized Care Processes in Hip Fracture Post-Acute Care
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DOI：
10.1080/02703181.2016.1267295
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发表时间：
2016-01-01
影响因子：
0.9
通讯作者：
Leland, Natalie E.
中科院分区：
文献类型：
--
作者：
Kim, Lauren H.;Leland, Natalie E.
目的：急性后期护理（PAC）中的职业和物理治疗已经达到需要髋部骨折质量指标的程度。这项研究描述了从业者优先进行的髋部骨折康复实践，可以指导未来的质量改进举措。方法：参与家长混合方法研究的 92 名从业者被要求对五个临床领域（评估、干预、出院计划、护理人员培训和患者教育）的一系列基于证据的最佳实践进行排名。结果：优先实践反映了患者与医生的合作，促进有效出院，并预防不良事件。获得最高认可的护理流程包括：在评估中根据患者的意见（84%）制定有意义的目标，在干预（75%）和患者教育（65%）中使用辅助设备，让患者和护理人员（50%）参与出院计划，以及在护理人员教育中预防跌倒（60%）。结论：从业者确定了关键的护理重点。这项研究为未来评估这些实践在 PAC 中的实施程度奠定了基础。
Aims: Occupational and physical therapy in post-acute care (PAC) has reached the point where quality indicators for hip fracture are needed. This study characterizes the practitioners' prioritized hip fracture rehabilitation practices, which can guide future quality improvement initiatives. Methods: Ninety-two practitioners participating in a parent mixed methods study were asked to rank a series of evidence-based best practices across five clinical domains (assessment, intervention, discharge planning, caregiver training, and patient education). Results: Prioritized practices reflected patient-practitioner collaboration, facilitating an effective discharge, and preventing adverse events. The highest endorsed care processes include: developing meaningful goals with patient input (84%) in assessment, using assistive devices in intervention (75%) and patient education (65%), engaging the patient and caregiver (50%) in discharge planning, and fall prevention (60%) in caregiver education. Conclusions: Practitioners identified key care priorities. This study lays the foundation for future work evaluating the extent to which these practices are delivered in PAC.