Decisions and Dilemmas: The Context of Prioritization Dilemmas and Influences on Staff Members’ Prioritization Decisions in Residential Aged Care

Kristiana Ludlow; Kate Churruca; Louise A. Ellis; Virginia Mumford; Jeffrey Braithwaite

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Decisions and Dilemmas: The Context of Prioritization Dilemmas and Influences on Staff Members’ Prioritization Decisions in Residential Aged Care

机译：决定和困境：优先级困境和对住宅老年护理中的工作人员优先级决策的影响

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Staff members in residential aged care facilities (RACFs) make prioritization decisions to determine which aspects of care are most important and thus should be attended to first. Prioritization can potentially result in substandard care if lower priority tasks are delayed or left undone, known as “missed care.” This study investigated the contexts in which prioritization dilemmas arise in RACFs and the influences on prioritization decision-making . Thirty-two staff members participated in a think-aloud task during a prioritization activity, a demographic questionnaire, a post-sorting interview, and a semi-structured interview. Data were analyzed using inductive content analysis. Prioritization dilemmas occurred in response to high workloads, inadequate staffing, unexpected events, and conflicting demands. Seven influences on prioritization decision-making were identified. In some instances, these influences were seen to be in conflict, making prioritization decision-making challenging. Efforts to prevent missed care should consider the influences on staff members’ decision-making and aim to reduce prioritization dilemmas.

机译：安老院护理机构（RACF）的工作人员会做出优先决策，以确定护理的哪些方面最重要，因此应该首先得到关注。如果较低优先级的任务被延迟或未完成，优先级排序可能会导致不达标的护理，称为“错过护理”本研究调查了RACF中出现优先级困境的背景，以及对优先级决策的影响。32名工作人员在优先排序活动、人口统计调查问卷、排序后访谈和半结构化访谈期间参与了一项有声思考任务。数据分析采用归纳内容分析法。在应对高工作量、人员配备不足、意外事件和相互冲突的需求时，出现了优先排序困境。确定了对优先级决策的七种影响。在某些情况下，这些影响被视为相互冲突，使得优先决策具有挑战性。防止错过护理应考虑对员工的决策的影响，并旨在减少优先化困境。

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来源
《Qualitative health research》 |2021年第7期|共13页
作者
Kristiana Ludlow; Kate Churruca; Louise A. Ellis; Virginia Mumford; Jeffrey Braithwaite;
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作者单位

Australian Institute of Health Innovation Macquarie University;

Australian Institute of Health Innovation Macquarie University;

Australian Institute of Health Innovation Macquarie University;

Australian Institute of Health Innovation Macquarie University;

Australian Institute of Health Innovation Macquarie University;

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原文格式 PDF
正文语种 eng
中图分类保健组织与事业（卫生事业管理）;
关键词
older people; work environment; decision-making; health care; teamwork; long-term; geriatrics; Australia; Australians; qualitative methods; content analysis; qualitative;

机译：老年人;工作环境;决策;医疗保健;团队合作;长期;老年人;澳大利亚;澳大利亚人;定性方法;内容分析;定性;

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Decisions and Dilemmas: The Context of Prioritization Dilemmas and Influences on Staff Members’ Prioritization Decisions in Residential Aged Care

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