Development and Validation of the Caregiver Hospital Assessment Tool (CHAT)

护理人员医院评估工具 (CHAT) 的开发和验证

• 批准号: 9890544
• 负责人: Beth Fields
• 金额: $ 9.16万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-01 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9890544
• 关键词: Address; Administrator; Admission activity; Aging; Agreement; Applications Grants; Assessment tool; Caregiver Burden; Caregivers; Caring; Clinical; Complex; Data; Development; Discipline of Nursing; Dose; Elderly; Evaluation; Event; Face; Family Caregiver; Feedback; Focus Groups; Future; Glean; Health; Health Personnel; Health Status; Healthcare Systems; Home environment; Hospitalization; Hospitals; Individual; Inpatients; Instruction; Interview; Knowledge; Learning; Life; Link; Medical; Medical Technology; Methodology; Methods; Modeling; Outcome; Patients; Personal Satisfaction; Process; Provider; Psychometrics; Reporting; Research; Research Personnel; Resources; Role; Scientist; Self Care; Series; Specific qualifier value; Structure; Suggestion; Surveys; Therapeutic; Training; Validation; Work; aging population; base; care delivery; caregiving; clinical decision-making; cohort; cost; design; experience; functional independence; functional status; hospital readmission; improved; indexing; loved ones; member; programs; response; routine practice; shared decision making; skills; systematic review; tool

ABSTRACT When older adults are hospitalized due to a major health event, the older adults and our healthcare system rely on an estimated 40 million family caregivers to assist their loved ones with self-care activities and complex medical and nursing tasks after hospitalizations. Despite acknowledgement that family caregivers are critical to patients and our healthcare system, caregivers report dissatisfaction with their identification and needs being met during the hospitalization process. In turn, caregivers feel ill-equipped to assist in tasks when their loved one returns home. Assessment of caregivers’ needs, strengths, and resources during hospital care may be particularly important to inform and target training that will equip them to fulfill the needs of their loved ones at home. We propose to develop the Caregiver Hospital Assessment Tool (CHAT) which will identify family caregivers’ needs and guide providers’ clinical decision making for training during hospital care. As a result of this work, family caregivers can expect to receive recognition and meaningful training during the hospitalization of their loved one with the help of CHAT. CHAT will be developed based on the recommended caregiver assessment framework from the National Center on Caregiving at Family Caregiver Alliance and perspectives from collaborative partners that include family caregivers, leading aging and caregiving scientists, and healthcare providers and systems. Specifically, for Aim 1 we will develop CHAT and assess content validity from a panel of experts using quantitative methodology; for Aim 2 we will evaluate face validity of CHAT items from family caregivers using qualitative methodology; and for Aim 3 we will identify clinical utility and acceptability considerations from key stakeholders to inform further refinement of CHAT. To address these aims, we will use a convergent mixed methods approach. In Aim 1, we will survey family caregivers and leading aging and caregiving scientists to gauge feedback on content, wording, and response format. In Aim 2, we will administer CHAT and complete interviews with family caregivers to learn their perspectives on clarity and appropriateness of CHAT. In Aim 3, we will conduct focus groups with frontline providers and healthcare system administrators to inform the refinement of CHAT, including mechanisms for administering and interpreting CHAT, as well as barriers and facilitators to implementing CHAT into routine practice. Findings from all three aims will be synthesized to help strengthen the overall analysis and generate information to refine CHAT. The development and refinement of CHAT is critical to the next planned grant proposal which will examine dose of CHAT specified training and the effect of CHAT on family caregivers and older adults. We expect the refined and psychometrically grounded CHAT will lead to improved knowledge, skills, and abilities of family caregivers. Family caregivers that are well-prepared have the potential to increase their own well-being but also help improve health outcomes and preventable readmissions for their loved ones.

抽象的 当老年人因重大健康事件而住院时，老年人和我们的医疗保健系统依靠 估计有4000万家庭护理人员为亲人提供自我保健活动和复杂 医疗和护士住院后的任务。尽管承认家庭护理人员对 患者和我们的医疗保健系统，护理人员报告对他们的身份不满，并且需要 在住院过程中见面。反过来，照顾者感到不适于他们所爱的人时完成任务 回家。评估护理人员在医院护理期间的需求，优势和资源可能是 告知和针对目标培训特别重要，这将使他们能够满足亲人的需求 家。我们建议开发护理人员医院评估工具（CHAT），该工具将确定家庭 护理人员的需求和指导提供者在医院护理期间培训的临床决策。后果 这项工作，家庭护理人员可以期望在住院期间获得认可和有意义的培训 他们所爱的人在聊天的帮助下。聊天将根据推荐的护理人员开发 来自家庭护理人员联盟国家护理中心的评估框架和观点 来自包括家庭护理人员，领先的衰老和护理科学家以及医疗保健的合作伙伴的合作伙伴 提供者和系统。具体而言，对于目标1，我们将从一个小组中开发聊天和评估内容有效性 使用定量方法的专家；对于目标2，我们将评估家人聊天项目的面部有效性 护理人员使用定性方法；对于目标3，我们将确定临床实用性和可接受性 主要利益相关者的考虑以告知进一步的聊天。为了解决这些目标，我们将使用 收敛的混合方法方法。在AIM 1中，我们将调查家庭护理人员和领先的衰老，以及 护理科学家评估有关内容，措辞和响应格式的反馈。在AIM 2中，我们将管理 与家庭护理人员聊天并完成面试，以了解他们对清晰和适当性的看法 聊天。在AIM 3中，我们将与一线提供商和医疗保健系统管理员进行焦点小组 告知聊天的完善，包括用于管理和解释聊天的机制，以及 将聊天实施为常规实践的障碍和促进者。这三个目标的发现将是 合成以帮助加强整体分析并生成信息以完善聊天。发展 聊天的改进对于下一个计划的赠款提案至关重要，该提案将检查指定的聊天剂量 培训和聊天对家庭护理人员和老年人的影响。我们期望精致和精神上 扎根的聊天将导致家庭护理人员的知识，技能和能力的提高。家庭护理人员 准备充分 可预防的对亲人的再入院。