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首页> 外文期刊>Health & social care in the community >Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place
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Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place

机译：退伍军人事务政策文件的定向内容分析：指导痴呆症家庭安全工具包的战略，为退伍军人推广老龄化

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摘要

Abstract Older adults’ preference to age in place, coupled with an increasing prevalence of dementia, creates an imperative to address home safety risks that occur due to cognitive impairment. Providing caregivers with home safety items and education can facilitate ageing in place for older adults living with dementia. In 2015–2017, we examined barriers and facilitators within 17 policy documents and dementia guidelines of the United States (US) Veterans Health Administration pertinent to implementation of a home safety toolkit (HST) for Veterans living with dementia. The documents were issued from 2000 to 2015. Directed qualitative content analysis of these documents guided by themes from stakeholder interviews revealed two key implementation barriers: a focus on physical rather than cognitive risks when determining medical necessity for home equipment, and a focus on rehabilitation and treatment rather than prevention. Mandates for person‐centred care planning, including comprehensive assessment, interdisciplinary collaboration, staff education and a focus on population health in primary care facilitate HST implementation. Content analysis can identify policy‐level barriers that slow innovation and facilitators that can increase access to care that support ageing in place.
机译：摘要较老年人的偏好于适当的年龄，加上痴呆症的普遍性增加，造成了由于认知障碍而发生的家庭安全风险的必要性。提供具有家庭安全物品和教育的护理人员可以促进老年人患有痴呆症的老年人的老化。 2015 - 2017年，我们在美国（美国）退伍军人卫生管理局的17个政策文件和痴呆症指南中审查了障碍和促进者，与痴呆症生活的退伍军人的家庭安全工具包（HST）实施。这些文件于2000年至2015年发布。由利益攸关方访谈的主题指导的这些文件的定性内容分析揭示了两个关键实施障碍：在确定家居装备的医疗必要性时，专注于物理而不是认知风险，并注重康复和康复治疗而不是预防。以人为本的护理规划任务，包括综合评估，跨学科合作，员工教育以及初级保健人口健康的重点是HST实施。内容分析可以识别政策级别障碍，以缓慢创新和促进者，可以增加支持衰老的护理。

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