[Improving communication in nursing homes: the mySupport study].

Q3 Medicine

Recenti progressi in medicina Pub Date : 2025-04-01 DOI:10.1701/4480.44815

Marianna Angaramo, Laura Simionato, Paola Di Giulio, Sara Campagna, Marco Clari, Valerio Dimonte, Silvia Gonella

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引用次数: 0

Abstract

This article aims to explore the feasibility and impact of a quality improvement project aimed to assist nursing home staff in supporting family carers when they need to make difficult decisions about end-of-life care for their relative with advanced dementia. During the three-year pandemic period 2019-2022, Italy joined the mySupport study with 2 Piedmontese nursing homes. The mySupport study is a transnational project, which involved 6 European and extra-European countries (United Kingdom, Ireland, the Netherlands, the Czech Republic and Canada). Family carers were engaged in trained nurse-led family care conferences on care decisions at the end of life and received written resources. The project implementation required flexibility and to face unexpected events with poor resources, which were overcome by the establishment of trusting relationships with family carers and collaboration among nurses. The educational intervention appears to facilitate the transition towards a palliative-oriented approach, by promoting family understanding of dementia, knowledge of residents' and family carers' care preferences, and shared decision-making.

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[改善养老院的沟通：我的支持研究]。

本文旨在探讨一项品质改善计划的可行性及影响，以协助养老院工作人员协助家庭照护者，就晚期失智症患者的临终照护作出困难的决定。在2019-2022年的三年大流行期间，意大利与2家皮埃蒙特养老院一起参加了“我的支持”研究。“我的支持”研究是一个跨国项目，涉及6个欧洲和欧洲以外的国家（联合王国、爱尔兰、荷兰、捷克共和国和加拿大）。家庭照顾者参加了训练有素的护士领导的家庭护理会议，讨论临终时的护理决定，并获得书面资源。项目的实施需要灵活性，需要面对资源不足的突发事件，但通过与家庭照顾者建立信任关系和护士之间的合作，克服了这些问题。教育干预似乎通过促进家庭对痴呆症的理解、居民和家庭照顾者护理偏好的知识以及共同决策，促进了向姑息治疗方法的过渡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Recenti progressi in medicina Medicine-Medicine (all)

CiteScore

0.90

自引率

0.00%

发文量

143

期刊介绍： Giunta ormai al sessantesimo anno, Recenti Progressi in Medicina continua a costituire un sicuro punto di riferimento ed uno strumento di lavoro fondamentale per l"ampliamento dell"orizzonte culturale del medico italiano. Recenti Progressi in Medicina è una rivista di medicina interna. Ciò significa il recupero di un"ottica globale e integrata, idonea ad evitare sia i particolarismi della informazione specialistica sia la frammentazione di quella generalista.