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首页> 外文期刊>Journal of advanced nursing >Informal and formal caregivers' involvement in nursing home care activities: impact of integrated care.
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Informal and formal caregivers' involvement in nursing home care activities: impact of integrated care.

机译：非正式和正式护理人员参与家庭护理活动：综合护理的影响。

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AIMS: This paper reports a study to investigate the relationships between informal and formal care, changing relationships over time, impact of integrated care, and theoretical and methodological lessons that can be drawn from research on this topic. BACKGROUND: The ratio of informal to formal care provided in nursing homes varies. In many countries the predominance of traditional, formal care is being challenged by the emergence of integrated care models in which formal and informal caregivers co-operate and co-ordinate their activities to deliver tailor-made care. This move towards integrated care is likely to result in changes in the degree and nature of involvement of formal and informal caregivers in care activities. However, very little research has investigated this. Previous research is restricted to one point in time, as opposed to focussing on the changing relationships between formal and informal caregivers over time. METHODS: The quasi-experimental design encompassed a traditional care comparison setting and an experimental setting with an integrated care intervention. At three measurement points, one before the intervention in May/June 2000 and two at 6 and 14 months after the intervention, informal and formal caregivers recorded their care activities. Informal care relationships were determined by calculating contribution rates and informal/formal care ratios for 14 activities. RESULTS: Integrated care did not bring about the expected major changes. There was a limited amount of substitution of formal care with informal care. There were limited changes in the extent of dual specialization, in which informal and formal caregivers perform separate activities. There was little supplementation of formal care with informal care. Furthermore, relationships changed over time, resulting in a complex pattern of linkages at the level of separate activities. CONCLUSIONS: Informal caregivers contribute to many activities. The impact of integrated care on the degree and nature of involvement, however,was moderate. A possible explanation is the contextual situation for nursing home care. These findings point to the need for further research into the (changing) relationship between formal and informal carers in residential care activities and the evolution of this relationship over time.
机译：目的：本文报告了一项研究，以调查非正式护理和正式护理之间的关系，随着时间的推移而变化的关系，综合护理的影响以及可以从对此主题进行研究的理论和方法论课程。背景：疗养院提供的非正式护理与正式护理的比例各不相同。在许多国家，由于正规和非正规护理人员合作和协调其活动以提供量身定制的护理，一体化护理模式的出现正挑战着传统正规护理的主导地位。朝着综合护理的方向发展可能会导致正式和非正式护理人员参与护理活动的程度和性质发生变化。但是，很少有研究对此进行过调查。先前的研究仅限于一个时间点，而不是关注随着时间的流逝，正式和非正式照料者之间关系的不断变化。方法：准实验设计包括传统的护理比较设置和带有综合护理干预的实验设置。在三个测量点，一个是在2000年5月/ 6月干预之前，另一个是在干预后6和14个月，非正式和正式的护理人员记录了他们的护理活动。通过计算14项活动的贡献率和非正式/正式护理比率来确定非正式护理关系。结果：综合护理未带来预期的重大变化。正式护理被非正式护理替代的数量有限。双重专业化程度的变化有限，在这种情况下，非正式和正式的看护者进行单独的活动。正式护理和非正式护理几乎没有补充。此外，关系会随着时间而变化，从而导致在单独活动级别上的链接方式复杂。结论：非正式护理人员有助于许多活动。但是，综合护理对参与程度和性质的影响是中等的。一个可能的解释是养老院护理的背景情况。这些发现表明，有必要对住宅护理活动中正式和非正式护理人员之间（不断变化的）关系及其随时间的演变进行进一步研究。

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