Caring for Family Caregivers: Perceptions of CARE Act Compliance and Implementation.
Caring for Family Caregivers: Perceptions of CARE Act Compliance and Implementation.
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DOI：
10.1097/qmh.0000000000000278
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发表时间：
2021
影响因子：
1.2
通讯作者：
James AE
中科院分区：
文献类型：
--
作者：
Rodakowski J;Leighton C;Martsolf GR;James AE
《护理者建议、记录、启用(护理)法》鼓励将家庭护理者纳入患者的住院治疗过程。将州法律转化为医疗保健提供系统内的有意义的变化可能是具有挑战性的，需要时间。这项研究试图检查宾夕法尼亚州联邦医院报告的CARE法案的早期遵守和执行情况。2017年，我们向宾夕法尼亚州的医院高管发送了一份在线调查。描述性统计用于检查医院特征，并用于评估《照护法案》原则的遵从性和执行情况。大多数医院报告说，已经和正在做出改变，以符合《护理法》(90.9%)。医院高管报告说，63.6%的医院有家庭护理员称号，45.5%的医院有病人出院通知。医院高管报告说，家庭照顾者的教育和指导在所有住院患者中进行了31.8%。医院高管表示，他们仍在制定程序，以遵守立法，并将家庭照顾者纳入医院系统和程序。我们的调查结果表明，医院正在遵守这项立法，而全面实施《护理法》的组成部分仍在进行中。
The Caregiver Advise, Record, Enable (CARE) Act encourages inclusion of family caregivers in the hospitalization process for patients. Translating the state laws into meaningful changes within the health care delivery system can be challenging and requires time. This study sought to examine early compliance with and implementation of the CARE Act reported by hospitals in the Commonwealth of Pennsylvania. We sent an online survey to hospital executives in Pennsylvania in 2017. Descriptive statistics were computed to examine hospital characteristics and used to assess compliance and implementation of the CARE Act tenets. Most hospitals reported that changes have been and are being made to comply with the CARE Act (90.9%). Hospital executives reported that the family caregiver designation is available in 63.6% of the hospitals and notification of patient discharge is available in 45.5%. Hospital executives reported that family caregiver education and instruction is occurring in 31.8% of all inpatient stays. Hospital executives indicated that they are still developing processes to comply with the legislation and to integrate family caregivers into hospital systems and processes. Our findings suggest that hospitals are complying with the legislation, while fully operationalizing the components of the CARE Act is a work in progress.