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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

2.0K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

3.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.0K
Nursing Implementation01:15

Nursing Implementation

5.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.9K
Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Study Designs in Epidemiology01:20

Study Designs in Epidemiology

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Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
842

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エビデンス実装プロジェクトのための「PICO」の提案：問題、実装/介入、評価、文脈、およびエンゲージメント（PIECE）アプローチ

Zachary Munn1, Adam S Cooper2, Kylie Porritt3

  • 1Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, University of Adelaide, Adelaide, SA, Australia.

JBI evidence implementation
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まとめ

PIECE（Practice/Problem of interest, Intervention/Implementation, Evaluation, Context, and Engagement）フレームワークは、ヘルスケアチームがエビデンス実装プロジェクトを計画するのに役立ちます。研究を実践に組み込み、持続的な改善を達成するための構造化されたロードマップを提供します。

キーワード:
JBIエビデンスに基づくヘルスケア実装科学知識変換品質改善

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科学分野:

  • 実装科学
  • ヘルスケアマネジメント
  • エビデンスに基づく実践

背景:

  • PICOモデルは臨床的な質問の標準ですが、現実世界のエビデンス実装には不十分です。
  • エビデンス実装プロジェクトには、実践的、文脈的、およびエンゲージメントの要因に対処するフレームワークが必要です。

研究 の 目的:

  • PIECE（Practice/Problem of interest, Intervention/Implementation, Evaluation, Context, and Engagement）フレームワークの紹介と説明。
  • エビデンス実装プロジェクトの計画と実行におけるPIECEの有用性の実証。
  • 医療チームがエビデンスを実践に組み込むための構造化されたアプローチの提供。

主な方法:

  • PIECEフレームワークは、実践/問題、介入、評価、文脈、およびエンゲージメントの各コンポーネントを概説して詳細に説明されています。
  • 成功したJBI（Joanna Briggs Institute）実装プロジェクトが、説明的な例として使用されています。
  • 実装の取り組みの概念化と実行におけるフレームワークの適用が検討されています。

主要な成果:

  • PIECEは、エビデンス実装のための構造化されながらも柔軟なロードマップを提供します。
  • このフレームワークは、組織の目標との整合性を促進し、ステークホルダーの関与を高めます。
  • PIECEは、実装プロジェクトの重要な計画フェーズをサポートします。

結論:

  • PIECEフレームワークは、臨床医が日常の実践にエビデンスを実装するための実践的なアプローチを提供します。
  • 問題選択、介入選択、評価、文脈、およびエンゲージメントを含む、実装科学の重要なコンポーネントに対処します。
  • PIECEは、体系的な計画と実行を通じて、ヘルスケア設定における意味のある改善を促進します。