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Family involvement in timely detection of changes in health of nursing homes residents:a qualitative exploratory study

机译:家庭参与及时发现疗养院居民健康变化的定性探索性研究

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摘要

Aims and objectives To explore family perspectives on their involvement in the timely detection of changes in their relatives’ health in UK nursing homes. Background Increasingly, policy attention is being paid to the need to reduce hospitalisations for conditions that, if detected and treated in time, could be managed in the community. We know that family continue to be involved in the care of their family members once they have moved into a nursing home. Little is known, however, about family involvement in the timely detection of changes in health in nursing home residents. Design Qualitative exploratory study with thematic analysis. Methods A purposive sampling strategy was applied. 14 semi-structured one-to-one telephone interviews with family members of people living in 13 different UK nursing homes. Data were collected from November 2015 to March 2016. Results Families were involved in the timely detection of changes in health in three key ways: noticing signs of changes in health, informing care staff about what they noticed, and educating care staff about their family members’ changes in health. Families suggested they could be supported to detect timely changes in health by developing effective working practices with care staff. Conclusion Families can provide a special contribution to the process of timely detection in nursing homes. Their involvement needs to be negotiated, better supported, as well as given more legitimacy and structure within the nursing home. Relevance to clinical practice Families could provide much needed support to nursing home nurses, care assistants, and managers in timely detection of changes in health. This may be achieved through communication about their preferred involvement on a case-by-case basis as well as providing appropriate support or services.
机译:目的和目的探讨英国家庭对他们参与及时发现英国养老院亲属健康状况变化的看法。背景技术越来越多的政策关注点在于减少因病情而住院的需求,如果能及时发现和治疗这些病,则可以在社区内进行管理。我们知道,一旦家庭成员移入疗养院,家庭将继续参与其家庭护理。然而,关于家庭参与及时发现养老院居民健康变化的知之甚少。通过主题分析设计定性探索性研究。方法采用有目的的抽样策略。与居住在英国13个不同养老院的人们的家庭成员进行了14次半结构化的一对一电话采访。从2015年11月至2016年3月收集了数据。结果家庭通过三种主要方式参与了对健康状况变化的及时检测:注意到健康状况变化的迹象,告知护理人员他们所注意到的内容以及对护理人员进行有关其家庭成员的教育健康的变化。家庭建议,通过与护理人员一起制定有效的工作习惯,可以帮助他们发现健康状况的及时变化。结论家庭可以为养老院的及时发现提供特殊的帮助。他们的参与需要进行谈判,得到更好的支持,并需要在疗养院内获得更多的合法性和结构。与临床实践的相关性家庭可以为养老院护士,护理助理和管理人员提供及时的健康变化方面急需的支持。这可以通过在个案基础上就他们的优先参与进行沟通并提供适当的支持或服务来实现。

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