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  • 标题:Implementation of a Mental Health Guideline in a Long-Term Care Home: A Participatory Action Approach
  • 其他标题:Implementation of a Mental Health Guideline in a Long-Term Care Home: A Participatory Action Approach
  • 作者:Maria Huijbregts ; Kunin-Lunenfeld Applied Research Unit – Baycrest, Toronto ; Department of Physical Therapy, University of Toronto, Toronto, Ontario
  • 期刊名称:Journal of Research in Interprofessional Practice and Education
  • 印刷版ISSN:1916-7342
  • 出版年度:2012
  • 卷号:2
  • 期号:2
  • DOI:10.22230/jripe.2012v2n2a71
  • 语种:English
  • 出版社:Canadian Institute for Studies in Publishing Press
  • 摘要:AbstractBackground: The goal of this pilot study was to implement a Canadian mental health guideline in a long-term care residence in order to improve interprofessional care of clients with mood and behavioural issues.Methods: Using a participatory action approach, this pilot study engaged staff/physicians, residents, and families in identifying key priorities for action related to the goal of improving interprofessional care. This resulted in the implementation of educational interventions, a mandate for non-registered nursing staff to attend interprofessional rounds, and enhanced interprofessional collaboration through unit-based huddles. A staff satisfaction survey and focus groups were conducted to assess perceptions of change.Findings: The staff satisfaction survey revealed statistically significant improvements in perceived job satisfaction, leadership, and workplace resources. Focus group findings indicated improved interprofessional collaboration, teamwork, support, and communication. Staff noted a stronger perception of being valued and increased confidence in their own contributions.Conclusions: Both qualitative and quantitative improvements were noted in staffjob satisfaction. Despite some limitations, these findings suggest that further dissemination of this initiative with rigorous evaluation is warranted.
  • 关键词:Psychiatry; Interprofessional Education;Long-term care; Mental health; Guideline implementation; Participatory action research; Knowledge translation
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