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Achieving competences in patient-centred care: an evaluation study of a training programme in assisted personal body care for respiratory patients

机译:实现以患者为中心的护理能力:对呼吸系统患者辅助个人身体护理培训计划的评估研究

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Achieving competences in patient-centred care: an evaluation study of a training programme in assisted personal body care for respiratory patients Aim. To document the efficacy of a training programme in patient-centred care in which the nursing staff was trained to involve chronic obstructive pulmonary patients in assisted personal body care (APBC). The objectives were to describe the programme and uncover the outcomes. Background. Chronic obstructive pulmonary patients suffer from breathlessness and may need comprehensive assistance with personal body care. The patients' well-being may be improved and their integrity safeguarded if nurses are able to involve the patients in accordance with their illness conditions and personal preferences. In order to achieve such competences in nursing staff, we developed, implemented and evaluated a training programme. Design. A qualitative outcome analysis was conducted in order to explore the dynamics of the training programme process and the outcome. Methods. Seven nurses and six nursing assistants from three hospital units were divided into two groups in which training and evaluation took place. The content of the programme was documented. Audio-recorded pre- and postfocus group discussions and oral evaluation within the two groups were analysed using Interpretive Description. Data were collected in 2007-2008. Results. The competences of the nursing staff to act in a patient-centred manner improved following the training. Staff was able to integrate patient preferences and professional measures, especially the ability to abstain from putting pressure on the patients to be more active, as was common practice prior to the training. According to the staff, there was no actual change in the patients' level of activity. The training was time-consuming. Conclusion. A comprehensive training programme can improve nursing competences to action patient-centred and involve severely ill respiratory patients in APBC. Further studies a...
机译:实现以患者为中心的护理能力:一项针对呼吸道患者的辅助个人身体护理培训计划的评估研究。记录培训计划在以患者为中心的护理中的效果,其中培训了护理人员,使慢性阻塞性肺病患者参与了辅助个人身体护理(APBC)。目的是描述程序并揭示结果。背景。慢性阻塞性肺患者呼吸困难,可能需要全面的个人身体护理。如果护士能够根据患者的病情和个人喜好让他们参与进来,则可以改善患者的健康并维护其完整性。为了实现护理人员的这种能力,我们制定,实施和评估了培训计划。设计。为了探索培训计划过程和结果的动态,进行了定性结果分析。方法。来自三个医院单位的七名护士和六名护理助手被分为两组,进行了培训和评估。该程序的内容已记录在案。使用解释性说明分析了两个小组内音频记录的前后焦点小组讨论和口头评估。数据收集于2007-2008年。结果。培训后,护理人员以患者为中心的行动能力得到了提高。员工能够整合患者的偏爱和专业措施,尤其是避免像往常一样对患者施加压力以使其更加活跃。据工作人员称,患者的活动水平没有实际变化。培训非常耗时。结论。全面的培训计划可以提高以患者为中心的护理能力,并使重症呼吸道疾病患者参与APBC。进一步的研究...

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