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首页> 外文期刊>International journal of older people nursing >Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people.
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Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people.

机译：发展以人为本的实践：老年人居住环境中护理环境的变化所产生的护理效果。

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AIM: To present the nursing outcomes from the evaluation of developments in the care environment in residential settings for older people. DESIGN: The evaluation data reported here is derived from a larger national programme of work that focused on the development of person-centred practice in residential services for older people using an emancipatory practice development framework. A multi-method evaluation framework was utilised. Outcome data were collected at three time points between December 2007 and September 2009. The data reported here were collected using an instrument called the 'Person-Centred Nursing Index'. FINDINGS: Heavy workload was the main cause of stress among nurses. Personal and professional satisfaction with the job was scored highest by the total sample of nurses. Nineteen factors were examined using the Person-Centred Nursing Index. Statistically significant changes were observed in 12 of these. In addition, there were statistically significant changes in nurses' perceptions of caring, indicating a shift from a dominant focus on 'technical' aspects of care, to one where 'intimate' aspects of care were more highly valued. RELEVANCE TO CLINICAL PRACTICE: The findings highlight the importance of the development of effective teamwork, workload management, time management and staff relationships in order to create a culture where there is a more democratic and inclusive approach to practice and space for the formation of person-centred relationships.
机译：目的：通过对老年人居住环境中护理环境发展的评估来呈现护理结果。设计：此处报告的评估数据来自更大的国家工作计划，该计划专注于使用解放性实践发展框架为老年人提供以人为本的居住服务实践。利用了一种多方法评估框架。在2007年12月至2009年9月的三个时间点收集了结果数据。此处报告的数据是使用称为“以人为本的护理指数”的工具收集的。结果：工作量繁重是造成护士压力的主要原因。护士总样本对工作的个人和专业满意度得分最高。使用以人为中心的护理指数检查了19个因素。在其中的12个中观察到统计学上的显着变化。此外，从统计学上看，护士对照料的看法也发生了显着变化，表明从对护理的“技术”方面的侧重重点转移到对“护理”的“内在”方面更加重视的一种转变。与临床实践的关系：研究结果突出了发展有效的团队合作，工作量管理，时间管理和员工关系的重要性，以营造一种文化，在这种文化中，应采取更加民主和包容的做法来实践和形成人际关系的空间。集中的关系。

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