通过关键陪伴促进疗养院及时开展综合姑息关怀:法国 Padi-Palli 干预研究的经验。

IF 2.7 Q2 HEALTH CARE SCIENCES & SERVICES
Palliative Care and Social Practice Pub Date : 2024-11-03 eCollection Date: 2024-01-01 DOI:10.1177/26323524241293819
Emmanuel Bagaragaza, Benoite Umubyeyi, Danièle Leboul
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引用次数: 0

摘要

背景:将姑息治疗方法融入疗养院护理的基本支柱之一是提高专业能力和机构能力。然而,传统的培训设计已被证明无法支持这种整合。本文详细介绍了一项实践发展干预措施的结果,该措施采用临界陪伴作为学习设计,以促进将姑息治疗方法融入法国养老院居民的护理中:本研究旨在探索帕蒂-帕利关键陪伴在支持将姑息疗法融入法国养老院居民护理中的感知结果:设计:以建构主义理论为视角进行多案例定性研究:这项多案例定性研究是一项大型干预性混合方法研究的一部分。具有姑息关怀临床专业知识的护士与疗养院专业人员一起进行了为期 10 个月的体验式学习,共分为三个阶段。干预结束后,采用目的性抽样方法从参与的六家疗养院中挑选专业人员,包括领导者和关键同伴。在 2023 年 2 月至 2024 年 3 月期间,采用焦点小组和个别访谈的方式收集数据。数据分析采用了布劳恩和克拉克的反思性主题分析法:四个相互关联的主题解释了帕蒂-帕利关键陪伴如何提高专业人员的姑息关怀能力、改善疗养院姑息关怀实践、支持姑息关怀的组织实践以及促进床边协作学习。Padi-Palli关键陪伴计划的合作和共同创造原则促进了文化的转变,在个人、团队和组织层面将姑息关怀方法融入到居民关怀中:临界陪伴提供了一种创新的实践发展方法,可以支持为疗养院居民提供及时的姑息关怀:ID-RCB 2020-A01832-37。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fostering timely integrated palliative care in nursing homes through critical companionship: experiences from a Padi-Palli interventional study in France.

Background: One of the fundamental pillars of integrating a palliative approach in nursing home care is increasing professional competencies and institutional capacity. However, conventional training designs have been proven to fall short of supporting this integration. This paper details the results of a practice development intervention that used critical companionship as a learning design to facilitate the integration of a palliative approach in the care of nursing home residents in France.

Objectives: This study aimed to explore the perceived outcomes of Padi-Palli critical companionship in supporting the integration of a palliative approach in the care of residents in nursing homes in France.

Design: Qualitative multiple case study situated within a constructivist theoretic lens.

Methods: This qualitative multiple case study is part of a larger interventional mixed-method study. Nurses with palliative care clinical expertise facilitated experiential learning with nursing home professionals for 10 months spread across three phases. At the end of the intervention, a purposive sampling method was used to select professionals from six nursing homes that participated, including leaders and critical companions. Focus groups and individual interviews were used to collect data between February 2023 and March 2024. Data analysis followed Braun and Clarke's reflexive thematic analysis.

Results: Four interrelated themes explained how Padi-Palli critical companionship enhanced the palliative care competencies of professionals, improved nursing home palliative care practices, supported organisational practices for palliative care and facilitated collaborative learning at the bedside. The collaborative and co-creative principles that informed the delivery of the Padi-Palli critical companionship program facilitated a culture shift towards integrating a palliative approach in resident care at individual, team and organisational levels.

Conclusion: Critical companionship offers an innovative practice development approach that can support the delivery of timely palliative care for residents in nursing homes.

Trial registration: ID-RCB 2020-A01832-37.

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来源期刊
Palliative Care and Social Practice
Palliative Care and Social Practice Nursing-Advanced and Specialized Nursing
CiteScore
2.90
自引率
0.00%
发文量
37
审稿时长
9 weeks
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