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首页> 美国卫生研究院文献>Innovation in Aging >The PATH to Caregiving: Assessing Caregivers and Developing a Caregiver Plan of Care in the Acute Care Setting
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The PATH to Caregiving: Assessing Caregivers and Developing a Caregiver Plan of Care in the Acute Care Setting

机译：护理道路：评估护理人员并在急性护理环境中制定护理人员的护理计划

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Family caregivers of older adults report lack of preparation for their role, particularly upon acute hospital discharge following a medical event. Addressing the needs of family caregivers in the acute care setting prior to hospital discharge requires the identification of the caregiver, an assessment of caregiver preparedness, and a plan of care to address gaps in preparedness. The Preparedness Assessment for the Transition Home 7-item (PATH-7) is a valid and reliable instrument developed to assess family caregivers readiness for the caregiving role during acute care. The PATH-7 paper-pencil self-administered assessment was implemented in clinical care in medical-surgical nursing units in 2 acute care hospitals. Interventions to address gaps in preparedness were selected from a catalogue of interventions to develop a caregiver plan of care. The most frequent challenge identified by family caregivers was fulfilling the caregiving role on top of their other roles and responsibilities. This illustrated the need to assist family caregivers with exploring options for recruiting others to help with their roles and responsibilities and identify solutions soliciting and organizing help. This novel program promotes addressing the needs of the family unit, moving to a family-integrated are delivery model. Implementation challenges included in-person contact with caregiver to administer assessment, resources to respond to identified gaps in readiness, and lack of technology-enabled assessment administration. Positive staff experience with identifying and addressing needs of caregivers was a facilitator of staff engagement. Identifying, assessing, and addressing the needs of family caregivers of older adults is feasible in the acute care setting.
机译：老年人的家庭照顾者报告了缺乏准备的作用，特别是在医疗活动后急性医院放电。在医院出院前，解决急性护理环境中的家庭护理人员的需求需要识别护理人员，评估护理人员的准备，以及解决准备中差距的护理计划。过渡回家7 - 项目（路径-7）的准备评估是一个有效且可靠的仪器，以评估家庭护理人员在急性护理期间提供护理作用的含量。路径-7纸铅笔自我管理评估是在2家急性护理医院的医疗手术护理单位的临床护理中实施。解决准备工作中差距的干预措施是从干预措施的目录中选择，以制定护理人员的护理计划。家庭护理人员最常见的挑战是履行其他角色和责任的关注作用。这说明了需要帮助家庭护理人员探索招聘他人的选择，以帮助他们的角色和责任，并确定解决方案征求和组织帮助。这部小型计划促进了满足家庭单位的需求，移动到家庭集成的是交付模型。实施挑战包括与护理人员联系，以管理评估，资源应对确定的差距，缺乏能够实现技术的评估管理。积极的员工经历，识别和解决护理人员需求是员工参与的辅导员。识别，评估和解决老年人家庭护理人员的需求在急性护理环境中是可行的。

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