Factors influencing nurses' readiness to care for hospitalised older people
Factors influencing nurses' readiness to care for hospitalised older people
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DOI：
10.1111/opn.12109
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发表时间：
2016-06-01
影响因子：
2.2
通讯作者：
Kjorven, Mary
中科院分区：
文献类型：
--
作者：
Baumbusch, Jennifer;Leblanc, Marie-Eve;Kjorven, Mary
目的和目标。为了更好地了解护士对影响他们为住院老年人提供适当护理的准备程度的因素的看法。医院一直被批评未能满足老年人独特而复杂的需求。研究表明，多种问题导致了这种情况，包括护士缺乏教育准备，对环境因素的关注有限，以及缺乏确保医院适应老年人需求的组织准备。一个探索性的，定性的方法。41名注册护士参加（24名护理点护士; 17名组织领导）。进行了六次焦点小组和一次个人访谈。主要研究结果采用主题数据分析。出现了一个“不适合”的总体主题。虽然参与者确定了患者对更复杂和关系型护理的需求，但更广泛的组织和社会背景在很大程度上没有变化。这导致护士认识到需要准备好照顾老年患者及其家属的因素，但在不适合这些需求的医院工作。研究结果确定了护理点，组织层面和更广泛的社会态度的因素，这些因素塑造了护士护理住院老年人的准备。然而，这些因素中有许多是可以改变的，对老年人的护理可以通过质量改进措施和护理领导来改善。这项研究提供了深入了解如何重新想象护理，可以响应老年人的复杂需求在医院。随着越来越多的老年人住院，护士，谁构成了最大的劳动力在这种情况下，必须包括在规划和提供医疗服务，以确保准备满足这一人口的需求。
Aims and objectives. To gain a better understanding of nurses' perspectives on factors that influence their readiness to provide appropriate care for hospitalised older people.Background. Hospitals have consistently been criticised for failing to address the unique, complex needs of older people. Research suggests that multiple issues have led to this situation, including a lack of educational preparation for nurses, limited attention to environmental factors, and an absence of organisational preparedness that ensures hospitals are adapted to meet the needs of older people.Design. An exploratory, qualitative approach was used.Methods. Forty-one Registered Nurses participated (24 point-of-care nurses; 17 organisational leaders). Six focus groups and one individual interview were conducted. Thematic data analysis was employed to generate the main study findings.Results. An overarching theme of 'Poor Fit' emerged. While participants identified the shifting needs of patients towards more complex and relational care, the broader organisational and societal contexts were, largely, unchanging. This resulted in nurses recognising the factors needed to be ready to care for older patients and their families, but working in hospitals that were not suited to these needs.Conclusions. The findings identify factors at the point-of-care, the organisational level, and in broader societal attitudes that shape nurses' readiness to care for hospitalised older people. However, many of these factors are modifiable and care for older people could be improved through quality improvement initiatives and nursing leadership. This study offers insight into ways to re-imagine nursing care that can be responsive to older people's complex needs in hospitals.Implications for practice. With a growing contingent of hospitalised older people, it is imperative that nurses, who comprise the largest workforce in this setting, be included in the planning and delivery of healthcare services to ensure readiness to meet the needs of this population.