PREDICTING THE USE OF SLEEP MEDICATIONS IN NURSING HOMES

本研究的主要目的是：(A)说明下列情况的性质和范围 居住在18个技能城市的老年男性和女性的睡眠药物使用情况 护理设施；(B)确定比率之间的关系 护士管理和各种医疗、社会、心理和 可能影响护士决策的情景因素；及(C) 确定养老院所有权是否以及如何与 服用安眠药。 该理论框架同时考虑了社会和医学因素， 包括：患者特征、患者需求水平 用药、护士对安眠药的态度及其在 疗养院、护患比例、药物种类和时间表，以及护理 自置居所。 多学科团队将收集和分析六种类型的数据 其中包括一名医学社会学家、一名内科医生、两名药剂师和一名 社会学家-社会工作者。数据来源包括：药房记录 数据、医疗/护理记录中的数据、护士问卷、系统化 对夜班护士的观察，观察后对 护士，以及对养老院管理人员的调查。 由于考察护士决策的科学研究很少 关于安眠药，这项研究应该有相当大的兴趣 致各卫生专业人士及医疗专家 老年学和医学社会学。

The main purposes of this study are: (a) describe the nature and extent of sleep medication use among elderly men and women residing in 18 skilled nursing facilities; (b) determine the relationship between the rate of nurse administration and various medical, social, psychological, and situational factors that may influence nurse decision-making; and (c) determine whether and how nursing home ownership is related to the administration of sleep medications. The theoretical framework considers both social and medical factors, including: patient characteristics, the level of patient demand for medication, nurse attitudes toward sleep medications and their use in nursing homes, nurse-patient ratios, drug type and schedule, and nursing home ownership. Six types of data will be collected and analyzed by multidisciplinary team that includes a medical sociologist, a physician, two pharmacists, and a sociologist-social worker. The sources of data include: pharmacy record data, data from medical/nursing records, a nurse questionnaire, systematic observation of evening nurses, a post-observational interview with the nurse, and a survey of nursing home administrators. Since there are few scientific studies that examine nurse decision-making regarding sleep medication, this study should be of considerable interest to members of various health professions as well as specialists in gerontology and medical sociology.