Managing in the Trenches of Consumer Care: The Challenges of Understanding and Initiating the Advance Care Planning Process
Managing in the Trenches of Consumer Care: The Challenges of Understanding and Initiating the Advance Care Planning Process
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DOI：
10.1080/01634372.2012.708389
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发表时间：
2012-01-01
影响因子：
3.2
通讯作者：
Sanders, Margaret
中科院分区：
文献类型：
--
作者：
Baughman, Kristin R.;Aultman, Julie;Sanders, Margaret
为了更好地了解社区长期护理提供者如何定义预先护理计划及其在过程中的作用，我们对62名护理经理（社会工作者和注册护士）进行了8个焦点小组，为俄亥俄州的医疗补助豁免计划提供护理。护理经理们表示，大多数消费者对预先护理计划知之甚少。护理经理将其定义得很宽泛，包括法律文件、社会方面、医疗考虑、持续沟通和消费者教育。护理经理将自己的角色视为信息提供者、医疗团队成员和教育者/教练。需要更好的教育、资源和协调，以确保消费者的偏好得到实现。
To better understand how community-based long-term care providers define advance care planning and their role in the process, we conducted 8 focus groups with 62 care managers (social workers and registered nurses) providing care for Ohio's Medicaid waiver program. Care managers shared that most consumers had little understanding of advance care planning. The care managers defined it broadly, including legal documentation, social aspects, medical considerations, ongoing communication, and consumer education. Care managers saw their roles as information providers, healthcare team members, and educators/coaches. Better education, resources, and coordination are needed to ensure that consumer preferences are realized.