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1
題名:Measuring Nursing Care Time and Tasks in Long-Term Services and Supports: One Size Does Not Fit All    
長期照護服務與支持機構的護理照護時間與任務測量
著者:Janet Prvu BettgerJulie A. SochalskiJanice B. FoustCynthia D. ZubritskyKaren B. HirschmanKatherine M. AbbottMary D. Naylor
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:長期照護 ; 護理 ; 測量 ; long-term care ; nursing ; measurement
刊名:The Journal of Nursing Research
卷期:20卷3期(2012.9)
頁碼:159-168
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背景 雖然有相當多數在長期照護服務與支持機構(long-term care service and supports, LTSS)的工作人員是護理人員,但提供護理的測量方法尚未被開發。 目的/方法 本研究以質性研究,並包括三角交叉研究法,分析來自於三個獨立來源的數據,探討與瞭解跨不同類型的長期照護服務與支持機構。 結果 在測量跨不同類型的長期照護服務與支持機構時,發現六個主要的問題點,包括:⑴不同的護理和組織類型,如:整天時間使用的細節、使用時間的量、不同護理任務類型的詳細程度;⑵臨床記錄和管理數據庫的時間記錄和任務;⑶書面和電子兩種形式的數據;⑷整合多項訊息的來源,以建立整體護理照顧的全貌;⑸提供給合約醫療院所的資訊可及性不一致;⑹缺乏來自於非專業醫療照護人員(如家屬)的照護記錄。本研究發現,觀察到不同護理之家在輔助生活設施、家庭和社區為基礎的服務有所差異,此差異亦被發現在不同機構的設置之內,設置和組織之間的一個共同性是提供電子存檔的照護計畫,具體說明個別性需求與需求如何未被滿足的可利用性。 結論 本研究結果顯示,跨三個不同類型的長期照護服務與支持機構資料的可利用性與明確性之變異。本研究為初步測量三個不同類型的長期照護服務與支持機構之護理照護任務的過程,以便進一步探討長期照護服務與支持機構住民的護理照護需求之範圍及其需求滿足的現況。
Background: Although most staff in long-term care services and support (LTSS) are nursing care personnel, a method for measuring the provision of nursing care has not yet been developed. Purpose/Methods: We sought to understand the challenges of measuring nursing care across different types of LTSS using a qualitative approach that included the triangulation of data from three unique sources. Results: Six primary challenges to measuring nursing care across LTSS emerged. These included (a) level of detail about time of day, amount of time, or type of tasks varied by type of nursing and organization; (b) time and tasks were documented across clinical records and administrative databases; (c) data existed in both paper and electronic formats; (d) several sources of information were needed to create the fullest picture of nursing care; (e) data were inconsistently available for contracted providers; and (f) documentation of informal caregiving was unavailable. Differences were observed between assisted living facilities and home-and community-based services compared with nursing homes. Differences were also observed across organizations within a setting. A commonality across settings and organizations was the availability of an electronically stored care plan specifying individual needs, but not necessarily how these would be met. Conclusions: Findings demonstrate the variability of data availability and specificity across three distinct LTSS settings. This study is an initial step toward establishing a process for measuring the provision of nursing care across LTSS in order to explore the range of nursing care needs of LTSS recipients and how these needs are currently fulfilled.




本卷期目次
The Journal of Nursing Research 20卷3期 (2012.9)
Measuring Nursing Care Time and Tasks in Long-Term Services and Supports: One Size Does Not Fit All/ Janet Prvu BettgerJulie A. SochalskiJanice B. FoustCynthia D. ZubritskyKaren B. HirschmanKatherine M. AbbottMary D. Naylor
A Pilot Study of the Telecare Medical Support System as an Intervention in Dementia Care: The Views and Experiences of Primary Caregivers/ Hsin-Kai ChouSui-Hing YanI-Chun LinMing-Tsu TsaiChu-Chieh ChenLin-Chung Woung
The Efficacy of Using Self-Monitoring Diaries in a Weight Loss Program for Chronically Ⅲ Obese Adults in a Rural Area/ Chi-Jane WangYi-Ching YangWen-Ling Wang
Characteristics and Underlying Meaning of Hoarding Behavior in Elders With Alzheimer's Dementia: Caregivers' Perspective/ Jing-Jy WangWen-Yun Cheng
Hospital Nurse Knowledge of and Approach to Dementia Care/ Pei-Chao LinMei-Hui HsiehLi-Chan Lin
Health-Related Quality of Life and Healthcare Resource Utilization in Taiwanese Women With Menopausal Symptoms: A Nation-Wide Survey/ Yuh-Kae ShyuChieh-Hsin PanWei-Min LiuJui-Yuan HsuehChun-Sen HsuPei-Shan Tsai
Nursing Student Perceptions of Spirituality and Spiritual Care/ Li-Fen WuYu-Chen LiaoDah-Cherng Yeh
The Development of an Evaluation Tool to Measure Nursing Core Curriculum Teaching Effectiveness: An Exploratory Factor Analysis/ Shu-Fang Chang
 
   
 
   

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