加拿大实施BETTER WISE的促进者和障碍者,加拿大的慢性疾病和预防干预:质量研究
Nicolette Sopcak1, Carolina Fernandes1, Daniel Ofosu1
1Department of Family Medicine, University of Alberta, 6-10 University Terrace, Edmonton, AB T6G 2T4 Canada.
Global implementation research and applications
|June 12, 2023
概括
更明智的干预成功地应对了实施的挑战,包括COVID-19的流行病,这是由于能够适应的预防从业者和强大的关系,改善了癌症和慢性疾病的预防和查.
科学领域:
- 主要护理是指初级护理.
- 卫生干预实施实施卫生干预
- 定性研究是指质量研究.
背景情况:
- "更明智的干预"旨在针对40-65岁成年人的癌症和慢性疾病预防和查 (CCDPS) 以及生活方式风险.
- 预防从业者 (PPs) 是干预的组成部分,在初级保健团队中提供专业支持.
研究的目的:
- 质量地探索促进者和障碍物,以实施更明智的干预.
- 确定影响初级保健预防计划成功实施的关键因素.
主要方法:
- 通过48次关键信息人采访,17个重点小组 (132名初级保健提供者) 和585张患者反表收集的定性数据.
- 分析采用了常数比较方法 (基础理论) 和实施研究综合框架 (CFIR).
主要成果:
- 促进者包括干预适应性,PP的感知同情心和知识,以及强大的团队沟通.
- 障碍包括资源限制,与流行病相关的干扰以及不一致的团队支持.
- 适应挑战的PP,通过建立的关系保持干预交付.
结论:
- 干预特征,提供者属性和团队动态显著影响实施成功.
- 适应能力和强大的人际关系对于在COVID-19流行病等外部挑战中维持更明智的干预至关重要.
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