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首页> 外文期刊>International Journal of Integrated Care >Integrated Palliative Care for Nursing Home Residents: Exploring the Challenges in the Collaboration between Nursing Homes, Home Care and Hospitals
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Integrated Palliative Care for Nursing Home Residents: Exploring the Challenges in the Collaboration between Nursing Homes, Home Care and Hospitals

机译：面向疗养院居民的综合姑息治疗：探讨疗养院，家庭护理和医院之间合作中的挑战

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Introduction: Nursing home residents are a vulnerable and frail segment of the population, characterised by their complex and palliative care needs. To ensure an integrated approach to palliative care for this target group, working on a collaborative basis with multiple providers across organisational boundaries is necessary. Considering that coordinators of palliative networks support and coordinate collaboration, the research question is: ‘how do network coordinators perceive the process of collaboration between organisations in Flemish palliative networks?’ Methods: A dual-phase sequential mixed-methods design was applied. First, the coordinators of each of the fifteen palliative networks in Flanders completed a survey in which they evaluated ten aspects of collaboration for two types of cooperation: between nursing homes and home care, and between nursing homes and hospitals. Next, the survey results thus obtained were discussed to improve understanding in a focus group composed of the above coordinators, and which was analysed on the basis of content analysis. Results: In both forms of cooperation, the ‘formalisation’ and ‘governance’ were the aspects that yielded the lowest mean scores. The coordinators in the focus group expressed a need for more formalised interaction among organisations with regard to palliative care, the establishment of formal channels of communication and the exchange of information, as well as the development of shared leadership. Conclusions: The perspectives of the coordinators on inter-organisational collaboration are a valuable starting point for interventions directed at the stronger integration of palliative care for residents of long term-care facilities.
机译：简介：疗养院居民是人口中脆弱且脆弱的人群，其特点是需要复杂而姑息的护理。为了确保针对该目标人群的综合姑息治疗方法，有必要与跨组织边界的多个提供商进行协作。考虑到姑息网络的协调员支持并协调协作，研究问题是：“网络协调员如何感知佛兰德姑息网络中组织之间的协作过程？”方法：采用了双阶段顺序混合方法设计。首先，法兰德斯的15个姑息治疗网络中的每一个的协调员完成了一项调查，在其中他们评估了两种合作类型的合作的十个方面：疗养院与家庭护理之间，以及疗养院与医院之间。接下来，讨论了这样获得的调查结果，以提高由上述协调员组成的焦点小组的理解，并在内容分析的基础上进行了分析。结果：在两种形式的合作中，“正规化”和“治理”是产生最低平均得分的方面。焦点小组的协调员表示，在姑息治疗，建立正式的沟通渠道和信息交流以及发展共同领导方面，各组织之间需要更正式的互动。结论：协调员对组织间协作的观点是针对长期护理机构居民的姑息治疗更牢固整合的干预措施的宝贵起点。

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