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Nursing Home Stakeholder Views of Resident Involvement in Medical Care Decisions

机译:疗养院利益相关者对居民参与医疗决策的看法

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Demand by nursing home residents for involvement in their medical care, or, patient-centered care, is expected to increase as baby boomers begin seeking long-term care for their chronic illnesses. To explore the needs in meeting this proposed demand, we used a qualitative descriptive method with content analysis to obtain the joint perspective of key stakeholders on the current state of person-centered medical care in the nursing home. We interviewed 31 nursing home stakeholders: 5 residents, 7 family members, 8 advanced practice registered nurses, 5 physicians, and 6 administrators. Our findings revealed constraints placed by the long-term care system limited medical involvement opportunities and created conflicting goals for patient-centered medical care. Resident participation in medical care was perceived as low, but important. The creation of supportive educational programs for all stakeholders to facilitate a common goal for nursing home admission and to provide assistance through the long-term care system was encouraged.
机译:随着婴儿潮一代开始为其慢性病寻求长期护理,预计疗养院居民参与其医疗或以患者为中心的护理的需求将会增加。为了探究满足此提议需求的需求,我们使用定性描述方法和内容分析来获得主要利益相关者对疗养院中以人为中心的医疗现状的共同观点。我们采访了31位疗养院利益相关者:5位居民,7位家庭成员,8位高级实践注册护士,5位医生和6位管理员。我们的研究结果表明,长期护理系统所施加的限制限制了医疗参与机会,并为以患者为中心的医疗服务设定了相互矛盾的目标。人们认为居民参与医疗保健的程度很低,但很重要。鼓励为所有利益相关者制定支持性教育计划,以促进养老院入院的共同目标并通过长期护理系统提供援助。

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