PDF(Pubmed)
Abstract：
Background: Despite available knowledge how to prevent the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, these risks still frequently occur and cause a major burden for older persons; furthermore, for the health care system, they are extremely costly. One way to combat these risks is to register the prevention process in quality registries. However, the increasing older population worldwide is going to put high demands on those working with this group of people. Objective: To explore how nurse aides, registered nurses and managers in nursing homes experience working with the prevention of pressure ulcers, malnutrition, poor oral health and falls in general and according to the quality register Senior Alert care process. Methods: A qualitative study was conducted in nursing homes in a municipality in southern Sweden. We purposively sampled nurse aides, registered nurses and managers (n = 21) working in nursing homes registered in the quality register Senior Alert, who then participated in one of five focus group semistructured digital interviews held between February and April 2020. The interviews were audio recorded. Data were analysed using reflexive thematic analysis. Results: Our findings explore how nurse aides, registered nurses and managers experience working with the prevention of pressure ulcers, malnutrition, poor oral health and falls in nursing homes both in general and according to Senior Alert. The following four themes were generated during the analysis: (1) is included in the everyday work, (2) requires team effort, (3) requires handling many challenges and (4) requires finding strategies. Conclusion: The prevention of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes is complex. There is a commitment and responsibility among nurse aides, registered nurses and managers regarding preventive work and team effort, and finding useful strategies is necessary for the work to be successful. However, challenges, both at the individual and organizational levels, are involved, which implies that smoother organizational routines facilitating this preventive work are needed. Although nurse aides, registered nurses and managers are good at finding strategies that facilitate this work, one of the main challenges seems to lie in the variety of knowledge found among those working in nursing homes, particularly among nurse aides. This challenge was voiced by all the professionals, which suggests the need for a tailored educational intervention aimed at increasing the related knowledge among those working in nursing homes to enhance preventive work.
摘要：
背景：尽管现有的知识如何预防压疮的风险，营养不良,口腔健康状况不佳，养老院老年人跌倒，这些风险仍然经常发生，给老年人造成重大负担；此外，对于医疗保健系统来说，它们非常昂贵。应对这些风险的一种方法是在质量登记册中登记预防过程。然而,世界范围内不断增长的老年人将对与这一人群一起工作的人提出很高的要求。目的:探讨护士助手,疗养院的注册护士和管理人员在预防压疮方面的工作经验，营养不良,口腔健康状况不佳，一般情况下，根据高级警报护理过程的质量登记。方法：在瑞典南部一个城市的疗养院进行了定性研究。我们有目的地给护士助手取样，在质量登记册高级警报中注册的疗养院工作的注册护士和管理人员（n=21），然后，他参加了2020年2月至4月间举行的五个焦点小组半结构化数字访谈之一。采访是录音。使用反身性主题分析对数据进行了分析。结果：我们的发现探讨了护士助手，注册护士和管理人员在预防压疮方面的工作经验，营养不良,口腔健康状况不佳，在一般情况下和根据高级警报，在疗养院跌倒。在分析过程中产生了以下四个主题：（1）包括在日常工作中，（2）需要团队的努力，（3）需要处理许多挑战，（4）需要寻找策略。结论:压疮的预防,营养不良,口腔健康状况不佳和养老院老年人跌倒是复杂的。护士助手之间有一种承诺和责任，注册护士和管理人员关于预防工作和团队努力，找到有用的策略是工作取得成功的必要条件。然而,挑战,在个人和组织层面，参与其中，这意味着需要更顺畅的组织程序来促进这种预防性工作。虽然护士助手，注册护士和管理人员善于寻找促进这项工作的策略，主要挑战之一似乎在于在养老院工作的人们中发现的各种知识，尤其是护士助理。所有专业人士都提出了这一挑战，这表明需要有针对性的教育干预措施，旨在增加在疗养院工作的人的相关知识，以加强预防工作。
