观察护理助理陪伴在医院支持老年人：一项横断面研究

IF 1.6 4区医学 Q2 NURSING

Collegian Pub Date : 2025-04-23 DOI:10.1016/j.colegn.2025.03.003

Rosemary Saunders , Kate Crookes , Tania Leach , Seng Giap Marcus Ang , Caroline Bulsara , Beverly Ewens , Michelle Gay , Karla Seaman , Paige Watkins , Christopher Etherton-Beer , Olivia Gallagher

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引用次数: 0

摘要

背景：医院环境可能导致或加剧老年认知障碍患者的行为和心理症状。澳大利亚的许多医院雇用工作人员作为陪护人员，为有认知障碍和/或有跌倒风险的人提供持续观察和额外支持；然而，人们对这一角色的活动知之甚少。目的了解医院老年患者护理助理的活动情况。方法采用横断面研究设计，采用观察工具，在西澳大利亚州的一家急性大都市医院进行研究。一名未参与的护士进行了观察。描述性统计分析探讨了报告的数据和频率。在一个月的时间内完成了93项观察。在不到一半的观察中（49%）观察到护理同伴中的助手为患者提供直接支持，而27%的观察记录了护理助手在其他活动中的情况，24%的观察记录没有主动支持。在直接支持期间，40%的人从事转移活动。大多数观测结果符合环境安全措施。大多数患者监测表已完成（95%）；68%的患者没有完成认知支持计划。讨论在注册护士的指导下，护理助手可以提高患者的安全性，并提供治疗参与；然而，它们可能没有被充分利用。结论这一角色是当代患者护理的一部分。对护理助理和准备和监督护理人员的护士进行培训是至关重要的，以确保对患者安全和护理质量作出有效贡献。

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Observing nursing assistant companions supporting older adults in hospital: A cross-sectional study

Background

Hospital environments may cause or exacerbate behavioural and psychological symptoms of older adults with cognitive impairment. Many hospitals in Australia employ staff as companions to provide constant observation and additional support for those with cognitive impairment and/or at risk of falls; however, little is known about the activities of this role.

Aim

To examine the activities of assistant in nursing companions allocated to older patients in hospital.

Methods

A cross-sectional study design using an observation tool was conducted at an acute metropolitan hospital in Western Australia. A nonparticipant nurse conducted the observations. Descriptive statistical analysis explored the data and frequencies reported.

Findings

Ninety-three observations were completed over a one-month period. Assistants in nursing companions were observed providing direct support to patients in less than half of the observations (49%), while 27% of observations recorded assistants in nursing in other activities, and 24% of observations recorded no active support. During direct support, 40% were undertaking diversionary activities. Environmental safety measures were met for most observations. Most patient surveillance forms were completed (95%); cognitive support plans were not completed for 68% of patients.

Discussion

Assistant in nursing companions under the direction of registered nurses can increase patient safety and provide therapeutic engagement; however, they may not be utilised to their full potential.

Conclusion

This role is part of contemporary patient care. It is essential that training is provided to both assistants in nursing and nurses who prepare and supervise them to ensure an effective contribution to patient safety and care quality.

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.