Partnership working by default: district nurses and care home staff providing care for older people
Partnership working by default: district nurses and care home staff providing care for older people
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DOI：
10.1111/j.1365-2524.2005.00587.x
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发表时间：
2005-11-01
影响因子：
2.4
通讯作者：
Woolley, R
中科院分区：
文献类型：
--
作者：
Goodman, C;Robb, N;Woolley, R
居住在只提供住宿护理的护理院的老年人依赖初级卫生保健服务来满足医疗和护理需求。研究调查了护理院工作人员和居民对全科医疗的要求，但没有调查初级保健团队其他成员的参与。本文介绍了在2001年和2003年完成的两个连续的研究，涉及焦点小组和调查方法的询问进行了两个设置：英格兰郡和内伦敦。两项研究的共同点是：（1）地区护理和其他初级保健服务对没有现场护理服务的护理院的贡献是什么？(2)什么策略促进居民，护理之家工作人员和NHS初级保健护理人员之间的参与和合作？以及（3）目前有效的伙伴关系工作和学习的障碍和帮助是什么？共有74名社区护士和护理之家经理和工作人员参加了10个焦点小组，124名护理之家经理（占171名受访者的73%）和113名地区护士队长（占142名受访者的80%）参加了调查。这两项研究的结果表明，护士是最频繁访问护理院的NHS专业人员。虽然护理之家经理和地区护士认为，他们有一个良好的工作关系，他们有不同的期望护理贡献应该是什么，以及如何定义个人和护理。这影响了老年人获得的服务范围，以及从地区护士那里获得的培训和支助护理之家工作人员的数量，以及他们能够发展合作和互惠工作模式的程度。调查结果表明，有必要为社区为基础的护理服务，以采取更具战略性的方法，确保老年人在护理院可以获得他们有权获得的服务，并获得同等的医疗保健老年人谁住在自己的家。
Older people residents in care homes that only offer residential care rely on primary healthcare services for medical and nursing needs. Research has investigated the demands that care homes staff and residents make on general practice, but not the involvement of other members of the primary healthcare team. This paper describes two consecutive studies completed in 2001 and 2003 that involved focus groups and survey methods of enquiry conducted in two settings: an England shire and inner London. The research questions that both studies had in common were (1) What is the contribution of district nursing and other primary care services to care homes that do not have on-site nursing provision? (2) What strategies promote participation and collaboration between residents, care home staff and NHS primary care nursing staff? and (3) What are the current obstacles and aids to effective partnership working and learning? A total of 74 community-based nurses and care home managers and staff took part in 10 focus groups, while 124 care home managers (73% of the 171 surveyed) and 113 district nurse team leaders (80% of the 142 surveyed) participated in the surveys. Findings from both studies demonstrated that nurses were the most frequent NHS professional visiting care homes. Although care home managers and district nurses believed that they had a good working relationship, they had differing expectations of what the nursing contribution should be and how personal and nursing care were defined. This influenced the range of services that older people had access to and the amount of training and support care home staff received from district nurses and the extent to which they were able to develop collaborative and reciprocal patterns of working. Findings indicate that there is a need for community-based nursing services to adopt a more strategic approach that ensures older people in care homes can access the services they are entitled to and receive equivalent health care to older people who live in their own homes.