文献导读 | 养老院高级护理计划教育方案的评估:一项纵向研究

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本期导读：刘昌锐老师

本期：

简介 Brief Introduction

（1）欧洲国家致力于降低养老院的死亡率，其中的原因是什么呢？

（2）养老院的死亡率和护理专业人员的专业率有什么关系呢？

（3）护理计划的实施和养老院的死亡率又有什么关系呢？

研究问题 Research Questions 

RQ: To evaluate the success of a programme of Advance Care Planning education for nursing homes by examining the effect on staff knowledge, Advance Care Planning practice within the home and end-of-life hospital admission rates.

研究方法 Research Methods 

Three longitudinal questionnaires assessing staff knowledge, Advance Care Planning Practice and hospital deaths completed before and after the initiation of the Advance Care Planning education programme by homes that had completed the training and those yet to undergo the training.

读后感 Comment 

(1) About the purpose of this research: clear. 

(2) About the conceptual and theoretical Framework: lack of these two part, maybe the reason was this article aim to solve practical problems for some entrepreneurs or businessmen and governments who hurry to make some planning or strategies so decrease the academic of this article. 

(3) About uncontrollable factors: the original ACP data was different with the post-intervention data because in care homes the high rate of staff turnover is commonly phenomenon which contribute the difficulties to compare the responses related to knowledge and confidence on the two ACP surveys directly were could resulted from the individual factor rather than whether training or not. Although exist some other factors such as the different month the rate of hospital deaths was different.

(4)

Data Analysis: data analysis is one of the big strength in this article.  The first comparison was the pre-intervention questionnaires completed by those who don't undergone the training between post-intervention questionnaires completed by those having undergone the training. There was also a comparison of between the participants who did complete the training with who did not complete the training but work in nursing homes.  The final comparison was about hospital death for each nursing home. These comparisons deepen the reader's comprehension of the research purpose step by step.

(5) The target stakeholders: clear.

(6) About key words “education”:  this article seem not related to education field.

 • ❤️END❤️ • 

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