首页> 外文期刊>International journal of older people nursing >Appreciating and developing compassionate care in an acute hospital setting caring for older people.
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Appreciating and developing compassionate care in an acute hospital setting caring for older people.

机译:在急需照顾老年人的急性病院中欣赏和发展富有同情心的护理。

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BACKGROUND: There is increasing emphasis in policy, research and practice on the importance of caring in health care. Indeed there is much debate about how to enhance the caring cultures within which health care is provided. This paper argues that a proper systematic analysis of caring practice that works well in care environments may help us to move towards a realistic model for the future which supports staff, patients and families to give and receive compassionate care. AIM: The aim of the project was to explore, develop and articulate strategies that enhanced compassionate relationship centred care in an acute hospital setting, caring for older people. METHODS: Appreciative action research informed the development and evaluation of the project. A range of data generation activities were used to examine what worked well. Following detailed analysis key processes emerged as being central to delivery of compassionate care. Specific action projects were implemented and evaluated to enhance these processes necessary for compassionate caring. FINDINGS: Data from the project helped to articulate the special and often hidden acts that make up compassionate care. In relation to the process of 'knowing who I am and what matters to me' data provided evidence of the value of this process and the potential impact to care. In addition data about the process of doing appreciative action research helped to realise its application and relevance in the health care setting. CONCLUSIONS: Findings from this work suggest that there are a number of significant processes that help people to deliver compassionate care. These need to be articulated, shared more widely across practice, policy and education so that we can build on this excellent practice. IMPLICATIONS FOR PRACTICE: Appreciative action research adopted in this project is an important methodology to supporting practitioners to identify what it is they do well and develop practice to try to make the best caring practice happen most of the time. Academics, policy makers and practitioners should consider the approach of appreciative action research as key to supporting developments in care.
机译:背景:政策,研究和实践越来越重视关怀在医疗保健中的重要性。确实,关于如何改善提供医疗保健的关爱文化存在很多争论。本文认为,对在护理环境中有效的护理实践进行适当的系统分析,可能有助于我们朝着未来的现实模型迈进,该模型支持员工,患者和家属提供和接受富有同情心的护理。目的:该项目的目的是探索,制定和阐明在急性医院环境中加强以同情关系为中心的护理的战略,以照顾老年人。方法:赞赏行动研究为项目的开发和评估提供了信息。一系列的数据生成活动被用来检查什么效果很好。经过详细的分析,关键过程成为了提供同情护理的关键。实施并评估了具体的行动项目,以增强富有同情心的关怀所必需的这些过程。结果:项目的数据有助于阐明构成富有同情心的关怀的特殊且通常是隐藏的行为。关于“了解我是谁,什么对我很重要”的过程,数据提供了该过程的价值以及对护理的潜在影响的证据。此外,有关开展有鉴赏力的研究过程的数据有助于实现其在医疗保健领域的应用和相关性。结论:这项工作的发现表明,有许多重要的过程可以帮助人们提供富有同情心的护理。这些需要加以阐明,并在实践,政策和教育中更广泛地共享,以便我们可以在这一优秀实践的基础上发展。实践的意义:该项目中采用的鉴赏性行动研究是一种重要的方法,可支持从业人员确定自己的擅长之处,并发展实践以尝试在大多数时间实现最佳关怀实践。学术界,政策制定者和从业者应将赞赏行动研究方法视为支持护理发展的关键。

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