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首页> 外文期刊>Journal of Research in Interprofessional Practice and Education >Observe, Coach, Assist, and Report: An Emerging Framework for Integrating Unregulated Healthcare Providers into Interdisciplinary Healthcare Teams
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Observe, Coach, Assist, and Report: An Emerging Framework for Integrating Unregulated Healthcare Providers into Interdisciplinary Healthcare Teams

机译：观察，指导，协助和报告：将不受监管的医疗保健提供者整合到跨学科医疗保健团队中的新兴框架

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Background : Unregulated healthcare providers known as personal support workers (PSWs) provide the majority of home care services in Ontario, Canada. However, there is little direction to guide their activities as members of interdisciplinary healthcare teams. The purpose of this study was to explore and describe the role of PSWs in interdisciplinary evidence-based stroke care. Methods and Findings: A concurrent triangulation mixed-methods design was used. Data sources included surveys ( N = 270), chart audits ( N = 234), interviews ( N = 28), focus groups ( N = 7), textbook review, an advisory committee ( N = 14), and knowledge fairs ( N = 112). PSWs can participate in team-based stroke care by observing vital information about clients in their homes, coaching clients to follow care plans, assisting to implement recommendations made by other healthcare providers, and reporting client progress, challenges, needs, and preferences to the healthcare team. Conclusions: The Observe, Coach, Assist, and Report (OCAR) themes have the potential to be used as a framework to guide improvements in intra-team communication, information sharing, and awareness of the PSW role, in order to support a more integrated home care experience for clients and families. Next steps include pilot testing the OCAR framework at the point of care in various settings to enhance interdisciplinary collaboration that is inclusive of PSWs.
机译：背景：称为个人支持工作者（PSW）的不受监管的医疗保健提供者在加拿大安大略省提供大多数家庭护理服务。但是，作为跨学科医疗团队的成员，几乎没有指导其活动的方向。本研究的目的是探讨和描述PSW在跨学科循证中风护理中的作用。方法和发现：采用并行三角剖分混合方法设计。数据来源包括调查（N = 270），图表审核（N = 234），访谈（N = 28），焦点小组（N = 7），教科书审查，咨询委员会（N = 14）和知识博览会（N = 112）。 PSW可以通过观察有关家中客户的重要信息，指导客户遵循护理计划，协助实施其他医疗服务提供者的建议以及报告客户对医疗保健的进度，挑战，需求和偏好来参与基于团队的中风护理球队。结论：观察，指导，协助和报告（OCAR）主题有可能被用作指导改进团队内部沟通，信息共享和对PSW角色的认识的框架，以支持更全面的客户和家庭的家庭护理经验。下一步包括在各种环境中的护理点对OCAR框架进行试点测试，以增强包括PSW在内的跨学科合作。

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