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首页> 外文期刊>Journal of the American Geriatrics Society >The Future of the Home Care Workforce: Training and Supporting Aides as Members of Home-Based Care Teams
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The Future of the Home Care Workforce: Training and Supporting Aides as Members of Home-Based Care Teams

机译：家庭护理劳动力的未来：培训和支持助资作为家庭护理团队的成员

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Home health, home care, and personal care aides provide most of the paid hands-on care delivered to seriously ill, functionally impaired individuals in their homes, assisted living, and other noninstitutional settings. This workforce delivers personal care, assistance with activities of daily living, and emotional support to their patients. They are often the eyes and ears of the health system, observing subtle changes in condition that can provide important information for clinical decision making and therapeutic intervention. Despite this fact, the growing number of team-based home care initiatives have failed to incorporate this workforce into their programs. Barriers to inclusion of aides into teams include a basic lack of value and understanding on the part of clinical team members and society in general of the complex tasks that these caregivers perform, inadequate investments in training and education of this workforce to develop their knowledge and competencies, and variation in state delegation laws that limit the scope of practice and consequently the ability of aides to work effectively in teams and to advance in their careers. Building on the few programs that have successfully included aides as key members of home care teams, federal and state policymakers, educators, and health systems and providers should standardize competency-based training requirements, expand nurse delegation consistently across states, and support evaluation, dissemination, and replication of successful programs. J Am Geriatr Soc 67:S444-S448, 2019.
机译：家庭健康，家庭护理和个人护理助手提供了大多数有偿的手放在家里，辅助生活和其他非易于建立环境中的疾病。这项员工提供个人护理，援助日常生活活动和对患者的情感支持。它们通常是健康系统的眼睛和耳朵，观察到能够提供临床决策和治疗干预的重要信息的细微变化。尽管事实上，越来越多的团队家庭护理举措未能将此员工纳入其计划。将助手纳入团队的障碍包括临床团队成员和社会的基本缺乏价值和理解，这些护理人员在培训和教育的投资不足以发展他们的知识和能力的复杂任务中以及国家代表团法律的变化，限制了实践范围，从​​而有助于在团队中有效地工作并在其职业生涯中提升的能力。建立少数份额，已成功包括助手作为家庭护理团队的主要成员，联邦和州政策制定者，教育工作者和卫生系统和供应商应规范基于能力的培训要求，始终如一地扩展护士代表团，并支持评估，传播以及成功计划的复制。 J AM Geriadr SOC 67：S444-S448,2019。

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