PREDICTING THE USE OF SLEEP MEDICATIONS IN NURSING HOMES

本研究的主要目的是：（a）描述 居住在18个技术熟练国家的老年男性和女性使用睡眠药物情况 （B）确定与护理设施之间的关系， 护士管理和各种医疗，社会，心理， 可能影响护士决策的情境因素;及（c） 确定养老院所有权是否以及如何与 睡眠药物的管理。 该理论框架考虑了社会和医学因素， 包括：患者特征、患者需求水平 药物，护士对睡眠药物的态度及其在 疗养院，护患比，药物类型和时间表，以及护理 房屋所有权。 六类数据将由多学科团队收集和分析 其中包括一名医学社会学家，一名医生，两名药剂师和一名 社会学家兼社工 数据来源包括：药房记录 数据，来自医疗/护理记录的数据，护士问卷，系统 夜间护士的观察，观察后的采访， 护士，并对护理之家管理人员进行了调查。 由于很少有科学研究，检查护士的决策 关于睡眠药物，这项研究应该是相当感兴趣的， 向各种卫生专业人员以及 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.