F-2-05-01
PARTICIPATORY ACTION RESEARCH - THE BEST STEP FORWARD
Russell, Fiona C (War Memorial Hospital, Sydney, Australia)
To demonstrate how utilizing a Participating Action Research methodology involving nurses, doctors, allied health professionals and academic researchers can best assist the development and implementation of a methodological framework for a critical pathway for older clients following rehabilitation of a fractured neck of femur. This involved a collaborative and interdisciplinary approach involving three geriatric rehabilitation units in NSW, Australia. The results indicate the value of forming partnerships across disciplines and across rehabilitation sites to ensure a useful and meaningful pathway was established. Moreover, best practice models can be further developed from this project through benchmarking the critical path so that health outcomes for older people rehabilitating from a fractured neck of femur will be maximized.
F-2-05-02
THE INVESTIGATION OF SPECIALITY WITH THE CARE INDEX ACCORDING TO THE WHOLE CARE GIVEN TO THE ELDERLY AND DISABLED.
Hiroshi Sumii, Nobuyuki Dohi (Hiroshima Prefectural Collage of Health and Welfare, Mihara, Japan)
Tadao Takayama (Okayama Prefectural University, Soja, Japan)
Abstract: THE care index composed of the involvement, Difficulty, and Necessity of the whole care given to the elderly and disabled was created for the evaluation of the actual care given. The whole fields of care workers in West Japan were selected and surveyed with mail questionnaires with regard to the 80 care duties, which were classified into 6 groups (life, information, medical, terminal and home), given to 1,208 disabled aged. The extent of three factors were assessed with five point scales. We devised the care index to multiply the average of involvement and necessity by the difficulty value of the care work, because the partial correlation coefficient between difficulty and involvement (r= -0.27) or between difficulty and necessity (r= -0.02) showed a marked decline. Multivariate analyses of basic properties and analogous architecture was defined.
Various changes in score on the care index resulted from the disability of the elderly and the occupational specialty of the care workers. As the degree of the bedridden or dementia got worse, the care index became elevated with bilateral stratums in the 6 groups respectively. The correlation coefficient between the care and Barthel Index showed a little minus correlation (r= -0.253). The degree of the bedridden and Barthel Index bore minus high correlation (r= -0.835) and the dementia (r= -0.421).
The care index of the matrons in special geriatric nursing homes (46.6) was higher than that of the care workers in geriatric health facilities (35.3), with a remarkably striking correlation coefficient (r=0.845). An intermediate correlation was detected in the nurses of both sides (r=0.498). That of the home helper was lower for the categories of housework and body care. Cluster analysis showed the care workers could be divided into three major groups (Institute, Medical and Domiciliary).
The care index could demonstrated the correlation or specialty of the care works given by health and welfare care workers. It can be more available than the categories of care needs for the care management and planning of the individual lives of the elderly and disabled to improve individual QOL.
