Negotiation Training for Case Managers to Improve Older Adult Acceptance of Services.

Negotiation Training for Case Managers to Improve Older Adult Acceptance of Services.
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DOI:
10.1097/ncm.0000000000000473
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发表时间:
2021-07-01
影响因子:
1.5
通讯作者:
Lindquist LA
Lindquist LA
中科院分区:
其他
文献类型:
--
作者:
Campbell M;Seltzer A;Ramirez-Zohfeld V;Lindquist LA

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老年人经常选择不接受推荐的社会支持服务(例如,护理人员和家庭治疗)。社会工作者/个案管理人员(SWs/CMs)经常陷入冲突,鼓励患者接受服务,但面临阻力。因此,老年人可能会经历不安全的家庭环境和出院。本研究旨在检验商学院谈判和争议解决(NDR)培训是否可以缓解这些冲突,并潜在地改善老年人和SWs/CMs的结果。城市医疗卫生体系(试点),全国病例管理会议(实施)。研究人员为sw / cm量身定制了研究生商学院提供的NDR培训。研究人员随后在一家城市医院对NDR培训进行了试点测试,并在一次全国病例管理会议上对全国的SWs/CMs队列实施了该培训。参与者完成了一项调查,以确定冲突、NDR计划的效用、现实世界的适用性和未来的方向。来自22个州的85名SW/CM参与者完成了NDR培训和调查。参与者报告说,他们在工作日经常遇到冲突。在ndr培训后,受访者对从课程中获得的知识非常积极,特别是注意到学习谈判基础,策略(例如,框架)和综合策略(例如,双赢/扩展到多议题讨论)的主题。所有参与者都计划在未来使用NDR技能。NDR培训项目可以为社会福利机构/CMs提供正式的策略,以促进老年人接受社会服务,同时平衡患者的自主权。学习谈判技巧对老年人的家庭安全和案件管理人员的福祉都是“双赢”的。
Older adults frequently choose not to accept recommended social support services (e.g., caregiver and home therapy). Social workers/case managers (SWs/CMs) are often caught in the conflict encouraging patients to accept services, but facing resistance. As a result, older adults may experience unsafe home scenarios and hospital discharges. This research sought to examine whether business school negotiation and dispute resolution (NDR) training could ease these conflicts and potentially improve outcomes for both older adults and SWs/CMs. Urban health care system (pilot), national case management conference (implementation). Researchers tailored the NDR training, offered at graduate business schools, for SWs/CMs. Researchers then pilot tested the NDR training at an urban hospital and implemented it with a national cohort of SWs/CMs at a national case management conference. Participants completed a survey that ascertained conflicts, utility of the NDR program, real-world applicability, and future directions. Eighty-five SW/CM participants, from 22 states, completed the NDR training and survey. Participants reported experiencing conflicts frequently in their workday. Post-NDR training, respondents were very positive about the knowledge gained from the course, specifically noting themes of learning the negotiation basics, tactics (e.g., framing), and integrative strategies (e.g., win-win/expanding to multi-issue discussions). All participants planned to use the NDR skills in the future. The NDR training program can provide SWs/CMs with formal strategies to facilitate older adults’ acceptance of social services while balancing patient autonomy. Learning negotiating techniques can be “win-win” for both older adults’ home safety and case manager well-being.
DOI: 10.1016/j.jamda.2009.07.006
发表时间: 2010-02
影响因子: 7.6
作者:
Avery E;Kleppinger A;Feinn R;Kenny AM
通讯作者: Kenny AM