Eliciting the educational priorities of home care workers caring for adults with heart failure.

Eliciting the educational priorities of home care workers caring for adults with heart failure.
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明确照顾患有心力衰竭的成人的家庭护理人员的教育重点。

DOI:
10.1080/02701960.2020.1793760
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发表时间:
2022-04
影响因子:
1.6
通讯作者:
Sterling MR
Sterling MR
中科院分区:
其他
文献类型:
--
作者:
Leung PB;Silva AF;Cho J;Kaur H;Lee A;Escamilla Y;Wiggins F;Safford MM;Kern LM;Shalev A;Sterling MR

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尽管家庭护理工作者(HCW)越来越多地照顾患有心力衰竭(HF)的成年人,但许多人感到准备不足,缺乏HF培训。为了作为未来教育干预的基础,我们的目标是激发卫生工作者的HF教育需求。我们与美国最大的医疗保健工会合作,招募了17家家庭护理机构雇用的41名卫生工作者。使用名义小组技术,我们要求卫生工作者回答三个问题:(1)在护理HF患者时:(1)你想要什么信息?(2)你担心什么症状?(3)你在什么情况下挣扎?参与者按照优先级对他们的回答进行了排序。数据是按问题合并的。在问题1中,参与者对心力衰竭的体征和症状的排名最高,其次是心力衰竭的治疗和药物治疗。对于第二个问题,胸痛是最令人担忧的,其次是神经变化和呼吸急促。在问题3中,参与者努力鼓励患者遵循心脏特有的饮食。卫生工作者表示,需要更多地了解心力衰竭的症状和体征,以及如何帮助心力衰竭患者进行自我护理。这些发现可以为为卫生工作者制定专门满足他们所表达的需求的HF培训计划提供信息。
Although home care workers (HCWs) are increasingly caring for adults with heart failure (HF), many feel unprepared and lack HF training. To serve as the foundation for a future educational intervention, we aimed to elicit HCWs’ HF educational needs. We partnered with the largest healthcare union in the US to recruit 41 HCWs employed by 17 home care agencies. Using the nominal group technique, we asked HCWs to respond to 3 questions: When caring for a HF patient: (1) What information do you want? (2) What symptoms worry you? (3) What situations do you struggle with? Participants ranked their responses by priority. Data were consolidated by question. For question 1, participants ranked HF signs and symptoms most highly, followed by HF treatment and medications. For question 2, chest pain was most worrisome, followed by neurologic changes and shortness of breath. For question 3, participants struggled with encouraging patients to follow a heart-specific diet. HCWs expressed a need to learn more about signs and symptoms of HF and ways to assist patients with HF self-care. These findings can inform the development of a HF training program for HCWs that specifically addresses their expressed needs.
DOI: 10.1161/jaha.118.010134
发表时间: 2018-12-04
影响因子: 5.4
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