生活辅助设施中的禁止入院令：直接护理工作者的观点

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2024-04-01 DOI:10.3928/00989134-20240311-02

Alanna Dancis, DNP, AGPCNP

{"title":"生活辅助设施中的禁止入院令：直接护理工作者的观点","authors":"Alanna Dancis, DNP, AGPCNP","doi":"10.3928/00989134-20240311-02","DOIUrl":null,"url":null,"abstract":"<section><h3>Purpose:</h3><p>To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.</p></section><section><h3>Method:</h3><p>This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.</p></section><section><h3>Results:</h3><p>DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.</p></section><section><h3>Conclusion:</h3><p>DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [<i>Journal of Gerontological Nursing, 50</i>(4), 11–15.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"212 1","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Do-Not-Hospitalize Orders in Assisted Living Facilities: Direct Care Workers' Perspectives\",\"authors\":\"Alanna Dancis, DNP, AGPCNP\",\"doi\":\"10.3928/00989134-20240311-02\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<section><h3>Purpose:</h3><p>To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.</p></section><section><h3>Method:</h3><p>This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.</p></section><section><h3>Results:</h3><p>DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.</p></section><section><h3>Conclusion:</h3><p>DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [<i>Journal of Gerontological Nursing, 50</i>(4), 11–15.]</p></section>\",\"PeriodicalId\":15848,\"journal\":{\"name\":\"Journal of gerontological nursing\",\"volume\":\"212 1\",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of gerontological nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/00989134-20240311-02\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20240311-02","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

目的：收集足够的定性数据，以制定一项干预措施，防止直接护理工作者（DCWs）将持有拒绝住院（DNH）指令的居民送往医院。方法：这是一项定性研究，有八名参与者参加，包括一项描述性调查，然后是半结构化访谈。然而，支持性领导能够帮助医务人员解决这些复杂的问题。结论：护理长在对持有临终关怀令的住院患者做出决定时，如果能接触到一名具有姑息治疗经验的护士，可能会对护理长有所帮助。[老年护理期刊》（Journal of Gerontological Nursing），50（4），11-15。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Do-Not-Hospitalize Orders in Assisted Living Facilities: Direct Care Workers' Perspectives

Purpose:

To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.

Method:

This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.

Results:

DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.

Conclusion:

DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [Journal of Gerontological Nursing, 50(4), 11–15.]

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.