PDF(Pubmed)
Abstract：
Managing residential care facilities (RCFs) includes the ability to manage adverse events while maintaining a human rights-based approach to care and support. Literature investigating rights-based approaches in RCFs is scarce; therefore, an investigation of the current approach in RCFs will inform improvements. This study sought to identify whether RCFs in Ireland upheld a rights-based approach during the course of adverse events by analyzing notifications of adverse events from 2021 taken from the Database of Statutory Notifications from Social Care in Ireland. Data analysis was conducted independently by two researchers. Notifications of adverse events were coded according to whether the human rights principles of fairness, respect, equality, dignity, and autonomy were upheld or violated during the adverse event and its subsequent management. There was some evidence of violations, including staff violations during adverse events and their management, as well as residents violating fellow residents\' autonomy, respect, and dignity in notifications of \"serious injury\" and \"allegations of abuse.\" However, overall, good practice was identified, with residents\' human rights upheld by staff. Our findings indicate that a rights-based approach to care and support is being upheld during adverse events and their management, which may indicate that such an approach to care and support has been adopted.
摘要：
管理住宅护理设施（RCF）包括管理不良事件的能力，同时保持基于人权的护理和支持方法。研究RCF中基于权利的方法的文献很少；因此，对RCF当前方法的调查将为改进提供信息。这项研究试图通过分析从爱尔兰社会关怀法定通知数据库中获取的2021年不良事件通知，来确定爱尔兰的RCF在不良事件过程中是否坚持基于权利的方法。数据分析由两名研究人员独立进行。不良事件的通知根据是否符合公平的人权原则进行编码，尊重,平等,尊严,在不良事件及其后续管理期间，自主性得到维护或侵犯。有一些违规的证据，包括员工在不良事件期间的违规行为及其管理，以及违反同胞居民自治的居民，尊重,和尊严在“严重伤害”和“虐待指控”的通知中。\"然而,总的来说,确定了良好做法，居民的人权得到工作人员的维护。我们的研究结果表明，在不良事件及其管理期间，基于权利的护理和支持方法得到了支持，这可能表明已经采取了这种照顾和支持的方法。
