Establishing good practices in continuing care: a descriptive study of community nursing services for people with HIV infection.
Establishing good practices in continuing care: a descriptive study of community nursing services for people with HIV infection.
复制标题
建立持续护理的良好实践：针对艾滋病毒感染者的社区护理服务的描述性研究。
DOI：
10.1046/j.1365-2648.1996.02168.x
复制
发表时间：
1996
影响因子：
3.8
通讯作者：
T. Butterworth
中科院分区：
文献类型：
--
作者：
N. Brocklehurst;T. Butterworth
本文介绍了英国六个卫生当局对艾滋病毒感染者的社区护理服务进行的两年研究的结果。这项研究由英国卫生部委托进行，旨在确定有效的家庭护理的主要桥梁和障碍，重点是出院协调、地区护理和多机构合作。数据收集的主要方法包括非参与者观察法、案例笔记分析、半结构化工作人员访谈、区护士邮寄问卷以及与服务用户的一系列焦点小组。研究地点包括英格兰西北部、北部和东南部的三个城市及其周边地区。调查结果显示，排放计划有相当大的改善空间，良好的做法并不是专门单位的专利。研究显示，地区护士愿意为这类受助人提供大部分居家护理服务，但我们需要更有针对性的培训、更多使用护理统筹人员，以及更多情绪和管理上的支援。
This paper presents findings from a 2-year study of community nursing services for people affected by HIV infection in six health authorities in England. The research, commissioned by the Department of Health, England, aimed to identify the main bridges and barriers to effective home nursing care, focusing on discharge co-ordination, district nursing and multi-agency collaboration. Using a triangulated, case study approach, the main methods of data collection included non-participant observation, case note analysis, semi-structured staff interviews, a postal questionnaire of district nurses and a series of focus groups with service users. Study sites included three cities and surrounding districts in the north west, north and south east of England. Findings suggest there is considerable room for improvement in discharge planning and that good practice is not the preserve of specialist units. District nurses are shown to be willing providers of the majority of home nursing care to this client group, but there is a need for more focused training, greater use of care co-ordinators and more emotional and managerial support.