BACKGROUND:Frail older patients are at risk of experiencing a decline in physical and cognitive function unrelated to the reason for admission. The Elder-Friendly Care (EFC) program was designed to improve the care, experiences, and outcomes of frail older adults. The project supported 8 Early Adoption Sites (EAS) in a large Canadian healthcare organization by providing multiple strategies, educational opportunities, and resources. The purpose of this study was to assess the usefulness of EFC educational materials and resources, staff practice changes and perceptions in pilot sites, and readiness for scale and spread. METHODS:The study was conducted from May 2017 to June 2018 using a mixed-methods approach incorporating the Kirkpatrick Model of Training/Evaluation. A total of 76 Direct Care Staff participated in the staff survey, which assessed their awareness of, satisfaction with, and utilization of EFC principles, resources, and practices. Additionally, 12 interviews were conducted with staff who were directly involved in site implementation of EFC. RESULTS:Most survey participants were aware (86%, n = 63) of the EFC program, and 85% (n = 41) indicated they or their site/unit had implemented EFC. Out of these 41 participants, the most common practice changes identified were: incorporating alternatives to restraint (81%, n = 33), decreased use of pharmacological restraint (78%, n = 32), and patient and family care planning (76%, n = 31). Participants that attended all 3 EFC Learning Workshops (LWs) were significantly more likely to recommend the EFC Toolkit to others (87% versus 40%; χ2 = 8.82, p < 0.01) compared to participants attending less than 3 EFC LWs. Interview participants indicated that the program was well structured and flexible as sites/units could adopt changes that suited their individual sites, needs, contexts, and challenges. CONCLUSIONS:The educational materials and resources used for the EFC project are useful and appreciated by the Direct Care Staff. Further, participants perceive the EFC intervention as effective in creating positive practice change and useful in reducing hospital-related complications for older patients. Future implementation will investigate the impact of EFC on system-level outcomes in acute care.

译文

背景:体弱的老年患者存在与入院原因无关的身体和认知功能下降的风险。老年护理(EFC)计划旨在改善脆弱的老年人的护理,经验和结果。该项目通过提供多种策略,教育机会和资源,为加拿大一家大型医疗组织的8个早期采用站点(EAS)提供了支持。这项研究的目的是评估EFC教育材料和资源的有效性,工作人员在试点实践中的变化和看法,以及对规模和传播的准备程度。
方法:该研究于2017年5月至2018年6月进行,采用了结合Kirkpatrick培训/评估模型的混合方法。共有76名直接护理人员参加了员工调查,该调查评估了他们对EFC原则,资源和实践的认识,满意度和使用情况。此外,对直接参与EFC现场实施的工作人员进行了12次采访。
结果:大多数调查参与者知道(86%,n = 63),而85%(n = 41)表示他们或他们的站点/单位已实施EFC。在这41名参与者中,确定的最常见的实践改变是:纳入约束替代方法(81%,n = 33),减少药物约束的使用(78%,n = 32),以及患者和家庭护理计划(76%) ,n = 31)。与参加少于三个EFC LW的参与者相比,参加所有三个EFC学习研讨会(LW)的参与者更有可能向其他人推荐EFC工具包(87%比40%;χ2== 8.82,p <0.01)。受访者表示,该计划结构合理且灵活,因为站点/单位可以采用适合其各自站点,需求,环境和挑战的更改。
结论:用于EFC项目的教育材料和资源非常有用,并受到直接护理人员的赞赏。此外,参与者认为EFC干预可以有效地产生积极的实践变化,并有助于减少老年患者的医院相关并发症。未来的实施将调查EFC对急性护理系统级结局的影响。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录