A structure and process evaluation of an Australian hospital admission avoidance programme for aged care facility residents
A structure and process evaluation of an Australian hospital admission avoidance programme for aged care facility residents
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DOI：
10.1111/j.1365-2648.2011.05740.x
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发表时间：
2012-02-01
影响因子：
3.8
通讯作者：
Wallis, Marianne
中科院分区：
文献类型：
--
作者：
Crilly, Julia;Chaboyer, Wendy;Wallis, Marianne
瞄准描述和评估护理之家计划中医院所涉及的结构和流程。背景澳大利亚老年人是医疗保健的最大消费者，由于老龄化进程，他们面临着医院获得性医源性并发症的风险。旨在为病人在自己的环境中提供护理的避免入院方案包括“家中医院”和最近的“疗养院医院”。方法. 2006年，对护理之家方案中的一家护士领导的医院进行了定性评价，采用了与19个利益攸关方的半结构化访谈。数据分析涉及使用起始代码和内容分析。调查结果。有效的转诊和沟通策略对于疗养院医院的实施非常重要。此外，疗养院医院方案管理人员具有急性护理和社区经验，并在高级实践中发挥作用。这些要素是方案运作的组成部分。结论随着人口老龄化，减少老年护理机构居民的住院率有可能改善患者的预后。一个结构和程序健全的方案是实现这一目标的关键因素。
Aim. To describe and evaluate the structures and processes involved in a hospital in the Nursing Home programme. Background. Older Australians are the largest consumers of healthcare, and as a result of the ageing process are at risk of developing hospital acquired iatrogenic complications. Hospital admission avoidance programmes that aim to provide care for patients in their own environment include Hospital in the Home and, more recently, Hospital in the Nursing Home. Methods. In 2006, a qualitative evaluation of a nurse-led Hospital in the Nursing Home programme using semi-structured interviews with 19 stakeholders was undertaken. Data analysis involved using start codes and content analysis. Findings. Effective referral and communication strategies were important for Hospital in the Nursing Home implementation. Furthermore, the Hospital in the Nursing Home programme manager had acute care and community experience and worked in an advanced practice role. These elements were integral to the programmes operation. Conclusion. As the population ages, reducing hospital admissions for aged-care facility residents has the potential to improve patient outcomes. A structurally and procedurally sound programme is a key element in achieving this aim.