综合老年评估在瑞典急性老年设置。

IF 1 Q4 HEALTH POLICY & SERVICES
Ewa Wressle, Eva Törnvall
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引用次数: 2

摘要

目的:综合老年评估(Comprehensive geriatric assessment, CGA)是一种广泛应用于老年护理的方法,涉及多学科评估,重点是确定体弱老年人的医疗、心理和功能能力,以制定综合治疗计划。本文的目的是描述和审查CGA在三个县议会的六个急性病老年科的实施过程,并通过患者医疗记录中的文件和工作人员使用CGA的看法来研究结果。设计/方法论/方法:本文描述了实施过程的各个阶段。结果测量基于基线时的患者医疗记录审查以及第一年和第二年的随访。在第二次随访时,通过问卷收集了工作人员对使用CGA的看法。结果:执行尚未达到可持续性,因此必须继续执行进程。结果表明,不同领域的文件在第一年有所增加,标准化评估工具的使用也有所增加。但是,第2年的审查结果显示有所减少。工作人员认为CGA对老年患者有很高的价值,但指出需要继续教育。创意/价值:成功实施的策略是经理们的大力支持、小型研讨会、CGA轮次、为新员工提供良好的介绍程序以及使用口袋大小的焦点卡等提醒。在研究期间发生了大量的人员流动,这可能对结果产生了重大的负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comprehensive geriatric assessment in Swedish acute geriatric settings.

Purpose: Comprehensive geriatric assessment (CGA) is a widely used approach in geriatric care and involves multidisciplinary assessments focused on determining a frail elderly person's medical, psychological and functional capability to develop an integrated plan for treatment. The purpose of this paper is to describe and scrutinize the CGA implementation process at six acute geriatric departments in three county councils and to study the outcome by the documentation in the patient medical records, and the staff perceptions using CGA.

Design/methodology/approach: The paper describes the implementation process stages. Outcome measures were based on patient medical records reviews at baseline and follow-ups at year 1 and year 2. Staff perceptions of using CGA were gathered by a questionnaire at the second follow-up.

Findings: The implementation had not yet reached sustainability so the implementation process must continue. Results show that documentation on the different areas increased in year 1, as well as the use of standardized assessment tools. However, results from the reviews for year 2 showed some decrease. Staff considered CGA to have high value for the geriatric patient but pointed out the need for continuing education.

Originality/value: Successful strategies for this implementation were strong support from the managers, small seminars, CGA rounds, good introduction routines for new staff and the use of reminders such as pocket-sized focus cards. A high staff turnover occurred during the study, which probably had a significant negative impact on the results.

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来源期刊
CiteScore
4.00
自引率
6.70%
发文量
6
期刊介绍: ■Successful quality/continuous improvement projects ■The use of quality tools and models in leadership management development such as the EFQM Excellence Model, Balanced Scorecard, Quality Standards, Managed Care ■Issues relating to process control such as Six Sigma, Leadership, Managing Change and Process Mapping ■Improving patient care through quality related programmes and/or research Articles that use quantitative and qualitative methods are encouraged.
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