No Other Safe Care Option: Nursing Home Admission as a Last Resort Strategy.
No Other Safe Care Option: Nursing Home Admission as a Last Resort Strategy.
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没有其他安全护理选项：疗养院作为最后的手段策略。
DOI：
10.1093/geront/gnaa077
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发表时间：
2020-11-23
期刊：
影响因子：
--
通讯作者：
Doupe MB
中科院分区：
文献类型：
--
作者：
Campbell-Enns HJ;Campbell M;Rieger KL;Thompson GN;Doupe MB
养老院是为最需要照顾的老年人准备的。然而，大约12%的养老院居民与居住在社区的老年人有类似的护理需求，他们入住养老院的原因在很大程度上未经研究。本研究目的在探讨低照护度护理院住客入住护理院的原因。定性解释描述方法被用来收集和分析数据，描述低护理养老院居民和家庭成员的观点，影响养老院入院的因素，包括促进者和障碍，生活在社区环境。通过半结构化访谈和现场记录收集数据。对数据进行编码和分类，并确定模式。这导致了描述这种经历的主题。低护理居民遇到的主要问题是独自生活在社区。居民和家庭成员使用了许多策略，以避免在社区的安全危机，但在社区和医疗保健设置经历了多个护理故障。养老院入院是一种策略，用于避免危机时，居民没有得到所需的支持，留在社区。为了成功地留在社区，老年人需要针对心理健康和药物使用需求的专门支持，以及加强出院计划和改善有关社区护理选择的信息。影响涉及改革政策和做法，在医院和社区为基础的护理环境。
Nursing homes are intended for older adults with the highest care needs. However, approximately 12% of all nursing home residents have similar care needs as older adults who live in the community and the reasons they are admitted to nursing homes is largely unstudied. The purpose of this study was to explore the reasons why lower-care nursing home residents are living in nursing homes. A qualitative interpretive description methodology was used to gather and analyze data describing lower-care nursing home resident and family member perspectives regarding factors influencing nursing home admission, including the facilitators and barriers to living in a community setting. Data were collected via semistructured interviews and field notes. Data were coded and sorted, and patterns were identified. This resulted in themes describing this experience. The main problem experienced by lower-care residents was living alone in the community. Residents and family members used many strategies to avoid safety crises in the community but experienced multiple care breakdowns in both community and health care settings. Nursing home admission was a strategy used to avoid a crisis when residents did not receive the needed support to remain in the community. To successfully remain in the community, older adults require specialized supports targeting mental health and substance use needs, as well as enhanced hospital discharge plans and improved information about community-based care options. Implications involve reforming policies and practices in both hospital and community-based care settings.
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DOI：
10.1046/j.1532-5415.2001.49285.x
发表时间：
2001-12-01
影响因子：
6.3
作者：
Clarfield, AM;Bergman, H;Kane, R
通讯作者：
Kane, R
影响因子：
2.6
作者：
Halasyamani, L.;Kripalani, S.;Manning, D.
通讯作者：
Manning, D.
影响因子：
3.2
作者：
Sandelowski, M;Barroso, J
通讯作者：
Barroso, J
影响因子：
9.7
作者：
Pallin, Daniel J.;Allen, Matthew B.;Bohan, J. Stephen
通讯作者：
Bohan, J. Stephen
影响因子：
2.3
作者：
Rieger KL
通讯作者：
Rieger KL