• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Drugs - Real World Outcomes >Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture
【24h】

Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture

机译：疗养院中老年人服用精神药物的治疗文化分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background There is increasing interest in how culture may affect the quality of healthcare services, and previous research has shown that ‘treatment culture’—of which there are three categories (resident centred, ambiguous and traditional)—in a nursing home may influence prescribing of psychoactive medications. Objective The objective of this study was to explore and understand treatment culture in prescribing of psychoactive medications for older people with dementia in nursing homes. Method Six nursing homes—two from each treatment culture category—participated in this study. Qualitative data were collected through semi-structured interviews with nursing home staff and general practitioners (GPs), which sought to determine participants’ views on prescribing and administration of psychoactive medication, and their understanding of treatment culture and its potential influence on prescribing of psychoactive drugs. Following verbatim transcription, the data were analysed and themes were identified, facilitated by NVivo? and discussion within the research team. Results Interviews took place with five managers, seven nurses, 13 care assistants and two GPs. Four themes emerged: the characteristics of the setting, the characteristics of the individual, relationships and decision making. The characteristics of the setting were exemplified by views of the setting, daily routines and staff training. The characteristics of the individual were demonstrated by views on the personhood of residents and staff attitudes. Relationships varied between staff within and outside the home. These relationships appeared to influence decision making about prescribing of medications. The data analysis found that each home exhibited traits that were indicative of its respective assigned treatment culture. Conclusion Nursing home treatment culture appeared to be influenced by four main themes. Modification of these factors may lead to a shift in culture towards a more flexible, resident-centred culture and a reduction in prescribing and use of psychoactive medication.
机译：背景技术人们越来越关注文化如何影响医疗服务的质量，并且以前的研究表明，疗养院中的“治疗文化”（分为居中，歧义和传统三大类）可能会影响对治疗的处方。精神药物。目的这项研究的目的是探索和了解在疗养院中老年痴呆症患者服用精神药物的治疗文化。方法参加本研究的六个疗养院（每个治疗文化类别两个）。通过与疗养院工作人员和全科医生的半结构化访谈收集定性数据，这些访谈旨在确定参与者对精神药物处方和管理的看法，以及他们对治疗药物的理解以及对精神药物处方的潜在影响。 。逐字记录后，对数据进行分析并确定主题，并由NVivo ？和研究小组进行讨论。结果与五名经理，七名护士，十三名护理助手和两名全科医生进行了访谈。出现了四个主题：环境的特征，个人的特征，关系和决策。设置的特点是通过设置视图，日常工作和员工培训来体现的。通过对居民的人格和员工态度的看法证明了个人的特征。家庭内部和外部的工作人员之间的关系各不相同。这些关系似乎会影响有关开药处方的决策。数据分析发现，每个家庭都表现出指示其各自分配的治疗文化的特征。结论护理院治疗文化似乎受到四个主要主题的影响。这些因素的改变可能会导致文化向更灵活，以居民为中心的文化转变，并减少精神药物的处方和使用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号