Including and Training Family Caregivers of Older Adults in Hospital Care Facilitators and Barriers
Including and Training Family Caregivers of Older Adults in Hospital Care Facilitators and Barriers
复制标题
DOI：
10.1097/ncq.0000000000000400
复制
发表时间：
2020-01-01
影响因子：
1.2
通讯作者：
James, A. Everette
中科院分区：
文献类型：
--
作者：
Fields, Beth;Rodakowski, Juleen;James, A. Everette
背景：尽管护理人员在提供护理方面发挥着重要作用，但住院期间与护理人员的互动和培训方法尚不清楚。目的：目的是检查医院护理期间与护理人员的互动和培训方法。方法：进行了混合方法案例研究。使用主题分析总结观察结果并分析访谈。结果：护理人员参与的频率在护理过程的不同点有所不同，但在住院护理点观察到的频率最高。提供者最常使用书面和口头指示来培训护理人员。访谈中出现了三个主题，被描述为护理人员参与的促进因素和障碍：经验、时间和关系。结论：以个人和家庭为中心的高质量护理取决于卫生保健系统、提供者、患者和护理人员之间的协调努力。未来的护理人员举措应旨在减少脱离、增加评估并扩大培训方法的使用。
Background: Despite the role caregivers play in the delivery of care, the interactions and training methods used with caregivers during an inpatient stay are not clear. Purpose: The purpose was to examine interactions and training methods used with caregivers during hospital care. Methods: A mixed-methods case study was conducted. Observations were summarized and interviews were analyzed using thematic analysis. Results: The frequency of caregiver engagement varied at different points in the care process but was highest among observations during the stay care point. Providers were most commonly using written and verbal instructions to train caregivers. Three themes emerged from the interviews and were described to be both facilitators and barriers to caregiver involvement: experience, time, and relationship. Conclusions: High-quality person and family-centered care depends upon coordinated efforts among health care systems, providers, patients, and caregivers. Future caregiver initiatives should aim to decrease disengagement, increase assessment, and broaden the use of training methods.