A Family-Staff Partnership to Improve LTC Quality

家庭与员工合作提高长期护理质量

基本信息

批准号：
7031122
负责人：
Sheryl Zimmerman
金额：
$ 55.8万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-15 至 2009-06-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Virtually all practitioners, policy-makers, researchers and the general public recognize a need to improve the quality of care in nursing homes and other residential long-term care settings. In large part, quality concerns exist because there is an insufficient and inconsistent workforce to care for long-term care residents. During an eight hour shift, for example, nursing assistants have on average only 15 minutes to talk with residents - a figure inconsistent with the fact that these workers chose this job because of their desire to develop a relationship with and help older adults. The result is a 93% turnover rate and compromised care for the resident, including declining function, increased infection incidence, hospitalization, and injury from abuse. There is no doubt that the quality of care would improve if worker burden and turnover were reduced. Fortunately, there is a likely remedy to worker burden, already in place and waiting to be mobilized: residents' families. The majority of residents have regular family visitors who want to be involved in care. Unfortunately, the long-term care system is not generally welcoming of their involvement, leaving family at a loss as to their proper role and engendering negative relations with staff. Mobilizing a family-staff partnership wherein family and staff work together to develop resident care plans designed to provide a role for family in helping the resident in simple yet important activities that relate to resident quality of life, and which expressly facilitates family-staff communication, is likely to improve family and staff satisfaction, reduce staff burden and turnover, and improve resident outcomes. Therefore, the aim of this project is to conduct a six month randomized clinical trial of a family-staff partnership program in 24 nursing homes and residential care/assisted living facilities, that is designed to involve families (N = 960) in resident-focused activities and facilitate relations between family and staff (nursing assistants and personal care aides; N = 544), thereby resulting in higher levels of family and staff satisfaction; less staff stress, burnout, absenteeism and turnover; more family involvement in resident quality of life and favorable perceptions of staff empathy; improved family-staff contacts; reduced facility reliance on temporary workers; and improved resident outcomes. Results have implications for the workforce crisis in long-term care, and can benefit all individuals who live in, work in, and care about those living and working in, nursing homes and residential care/assisted living facilities.

描述（由申请人提供）：几乎所有从业者，政策制定者，研究人员和公众都认识到有必要提高疗养院和其他住宅长期护理环境的护理质量。在很大程度上，存在质量问题，因为没有足够的不一致的劳动力来照顾长期护理居民。例如，在八个小时的轮班中，护理助理平均只有15分钟即可与居民交谈 - 这一数字与这些工人之所以选择这项工作的事实不一致，因为他们希望与老年人建立关系并帮助老年人。结果是营业额93％和对居民的护理损害，包括功能下降，感染发生率增加，住院和虐待受伤。毫无疑问，如果减轻工人负担和营业额，护理质量将提高。幸运的是，已经有一种解决工人负担的补救措施，已经到位并等待动员：居民的家庭。大多数居民都有定期的家庭访客，他们想参与护理。不幸的是，长期护理系统通常不欢迎他们的参与，而是让家人不知所措，并与他们的职位相关，并与员工产生负面关系。动员家庭和员工共同努力制定居民护理计划，旨在为家庭提供与居民生活质量相关的简单而重要的活动，并明确促进家庭竞选沟通的简单但重要的活动，这可能会提高家庭和员工的满意度，减轻员工的负担和改善居民。因此，该项目的目的是在24家疗养院和住宅护理/辅助生活设施中对家庭服务伙伴关系计划进行六个月的随机临床试验，旨在使家庭（n = 960）参与居民活动，并促进家庭和员工之间的关系（护理助理和个人护理人员; n = 544），并在此范围内，并在此级别上满足，并在更高的级别上，并在更高的级别上;员工的压力，倦怠，旷工和营业额更少；更多的家庭参与居民生活质量和对员工同理心的有利看法；改善了家庭招人的联系；减少了对临时工的设施依赖；并改善了居民成果。结果对长期护理的劳动力危机有影响，可以使所有居住，工作和关心生活和工作人员，疗养院以及住宅护理/辅助生活设施的人受益。