Managing DNACPR Recommendations in Residential Care: Towards Improved Training for Social Care and Capacity Professionals
Managing DNACPR Recommendations in Residential Care: Towards Improved Training for Social Care and Capacity Professionals
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DOI：
10.1093/bjsw/bcad078
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发表时间：
2023-05-16
影响因子：
1.8
通讯作者：
Martin，Wayne
中科院分区：
文献类型：
--
作者：
Fitton，Emily;Kuylen，Margot;Martin，Wayne
在 COVID-19 大流行期间，“请勿尝试心肺复苏”(DNACPR) 建议的使用受到了严格审查，护理质量委员会 (CQC) 已发出呼吁，要求制定新的标准、指南和培训。需要新培训的一组人是在住宿护理机构中工作的“能力专业人员”。这些专业人员（包括独立心智能力倡导者和最佳利益评估员）通常具有社会工作背景，并接受过有关 2005 年心智能力法案的专业培训，该法案的条款与 DNACPR 建议直接相关。我们报告了一项调查和焦点小组，探讨了这一专业群体在大流行期间的经历。我们通过接触民间社会组织招募了 262 名参与者，这些组织中有能力专业人员；二十二人参加了后续焦点小组。我们使用清单内容分析和描述性统计来分析结果。我们的研究结果有助于人们对大流行第一年寄宿疗养院所发生的情况有一个新的了解，并有助于为 CQC 所呼吁的新指南和培训的制定提供经验和规范基础。
The use of ‘Do Not Attempt Cardiopulmonary Resuscitation’ (DNACPR) recommendations has come under scrutiny during the COVID-19 pandemic, and the Care Quality Commission (CQC) has issued a call for new standards, guidance and training. One group for whom new training is required is ‘capacity professionals’ working in and with residential care facilities. These professionals (including Independent Mental Capacity Advocates and Best Interests Assessors) typically have a social work background and have specialist training regarding the2005 Mental Capacity Act, the provisions of which have a direct relevance to DNACPR recommendations. We report on a survey and focus groups that probed the experiences of this professional group during the pandemic. We recruited 262 participants by approaching civil society organisations in which capacity professionals are well represented; twenty-two participated in follow-on focus groups. We used manifest content analysis and descriptive statistics to analyse the results. Our findings contribute to an emerging picture of what transpired in residential care homes during the first year of the pandemic and help to provide an empirical and normative basis for the development of the new guidance and training for which the CQC has called.