District nurses' experiences of providing care in residential care home settings
District nurses' experiences of providing care in residential care home settings
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DOI：
10.1046/j.1365-2702.2003.00678.x
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发表时间：
2003-01-01
影响因子：
4.2
通讯作者：
Knight, D
中科院分区：
文献类型：
--
作者：
Goodman, C;Woolley, R;Knight, D
很少有研究描述的参与和贡献的初级卫生保健服务，在住宅，尽管政策和研究关注，老年人在住宅是一个脆弱的人口，为谁照顾必须得到改善。这项研究的目的是探讨实际和潜在的贡献，初级保健护士在住宅的老年人，特别是地区护士。在英格兰的一个县，与地区护士举行了五个焦点小组，以探讨参与者如何表达他们的观点，价值观和在养老院工作的经验。我们的主要发现是背景的重要性，在塑造地区护理参与的经验。全科医生的附件决定了访问家庭的频率和影响的工作量。地区护士定期接触住宅离散的护理任务，但适当的转介和输入不agreed.The焦点小组讨论与地区护士揭示了他们的工作在住宅的问题是，缺乏共识，他们的角色。数据表明，在一个跨越健康和社会护理、公共和私人鸿沟的环境中提供护理的不确定性，以及对管理工作量的焦虑，掩盖了他们对养老院老年人的公认担忧。需要进一步研究，以证实调查结果，征求居民的意见，并解决如何为这一群体提供综合和公平的保健和社会照顾的问题。
Little research describes the involvement and contribution of primary health care services in residential homes, despite policy and research concerns that older people in residential homes are a vulnerable population for whom care must be improved.The aim of this research was to explore the actual and potential contribution of primary care nurses in residential homes for older people, particularly district nurses.Five focus groups were held with district nurses in one county in England, to explore how participants represented their views, values and experiences of working in residential homes.Our major finding was the importance of context in shaping the experience of district nursing involvement. General practitioner attachment determined the frequency of visiting homes and affected workload. District nurses had regular contact with residential homes for discrete nursing tasks, but appropriateness of referrals and input was not agreed.The focus group discussions with district nurses revealed how problematic their work in residential homes was and a lack of consensus about their role. The data suggested that uncertainty about providing care in a setting that straddles the health and social care, public and private divide, and anxieties about managing their workload overshadowed their acknowledged concerns about the older people in residential care homes. Further research is needed to substantiate the findings, obtain residents' views and address issues of how to achieve integrated and equitable health and social care for this group.