• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of older people nursing >Outcomes from the work of Registered Nurses working with older people in UK care homes.
【24h】

Outcomes from the work of Registered Nurses working with older people in UK care homes.

机译：在英国养老院中与老年人一起工作的注册护士的工作成果。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

AIMS AND OBJECTIVES: This research sought to illuminate the distinct contributions made by Registered Nurses (RNs) and Care Assistants (CAs) to outcomes for older people in UK (nursing) care homes and to identify the outcomes of their work. This paper reports on aspects relevant to RNs. BACKGROUND: Older people living in long-term residential care settings around the world are among the most vulnerable individuals within their communities and those with the most complex needs. Nursing has historically been fundamental in the delivery of these services but, in some countries, the role of Registered Nurses in residential care is coming under increasing scrutiny, particularly in the context of escalating costs and funding restrictions, a questioning of the need for a 24-hour 'health' professional presence in a 'social care' service and a lack of evidence on the distinct contribution that RNs make to outcomes in these settings. DESIGN: A multi-method qualitative interpretive approach, adopting a structure-process-outcome framework and grounded in the philosophical hermeneutics of Hans-Georg Gadamer (2003). METHODS: For Phase 1 of the study, RNs and CAs from care homes around the UK contributed examples of their work, which they identified as having made a 'significant' difference to older individuals. Phase 2 comprised researcher fieldwork (observations, interviews and documentary analysis) in three care homes around UK. Research participants included RNs, CAs, older residents, relatives, home managers and professionals working in the homes. RESULTS: RN roles in care homes are broad and multifaceted. Distinct outcomes of RN work are consequent to their caring and their knowledge and skills developed through broad experience in a range of healthcare settings. Outcomes for residents from RN work include enhanced personhood and wellbeing, improved health and function, the prevention of problems/adverse outcomes and enhanced quality of life. RN outcomes have positive impact on relatives, staff and the homes in general. CONCLUSIONS: There is potential to reconsider the broad, 'anything and everything' nature of the RN role in care homes identified in the research. However, given the complex healthcare needs of the current resident population, the 24-hour RN presence is deemed essential.
机译：目的和目标：这项研究试图阐明注册护士（RNs）和护理助手（CAs）对英国（疗养院）老年人的成果做出的独特贡献，并确定他们的工作成果。本文报告了与RN有关的方面。背景：世界各地长期居住在养老院中的老年人是其社区中最弱势的人群，也是需求最复杂的人群。从历史上看，护理一直是提供这些服务的基础，但是在某些国家，注册护士在住宅护理中的作用正受到越来越严格的审查，特别是在成本不断上涨和资金限制的情况下，有人质疑是否需要24小时的“保健”专业人员在“社会护理”服务中的存在，以及缺乏关于RN在这些情况下对结果的独特贡献的证据。设计：一种多方法定性解释方法，采用结构-过程-结果框架，并以汉斯-乔治·加达默尔（Hans-Georg Gadamer，2003）的哲学解释学为基础。方法：在研究的第一阶段，来自英国各地疗养院的RN和CA提供了其工作实例，他们确定这些实例对年纪较大的个体产生了“重大”影响。第二阶段包括英国三所养老院的研究人员实地调查（观察，访谈和文献分析）。研究参与者包括RN，CA，老年居民，亲戚，房屋经理和在房屋工作的专业人员。结果：RN在养老院中的作用广泛且多方面。 RN工作的不同结局是由于他们的关心以及他们通过在各种医疗机构中的广泛经验而获得的知识和技能。 RN工作的居民获得的成果包括改善人格和福祉，改善健康和功能，预防问题/不良后果并提高生活质量。 RN的结果对亲戚，员工和整个家园都有积极影响。结论：有可能重新考虑研究中确定的护理院中RN角色的广泛性，“所有性”。但是，考虑到当前居民的复杂医疗保健需求，认为24小时RN存在至关重要。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号