使用混合有效性研究以促进社区环境中的实施:在痴呆症护理研究中的三个案例研究
Joseph E Gaugler1, Rosa R Baier2, Zachary G Baker1
1School of Public Health, University of Minnesota, Minneapolis, MN, USA; College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Journal of the American Medical Directors Association
|August 29, 2023
概括
混合研究通过结合有效性和实施研究来加速痴呆症护理创新的实施. 这种方法弥合了测试干预措施和现实应用之间的差距,更快地提高了护理质量.
科学领域:
- 实施科学 实施科学
- 痴呆症护理研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 将基于证据的创新转化为实践,特别是在痴呆症护理方面,是一个漫长的过程,通常超过20年.
- 干预措施的测试与在现实环境中广泛实施之间存在很大的差距.
- 现有的研究管道往往是低效的,延迟了向患者和家人提供更好的护理.
研究的目的:
- 描述混合有效性研究作为一种加速实施管道的方法.
- 介绍在社区环境中进行的痴呆症护理混合有效性研究的例子.
- 为研究人员提供关于在慢性疾病护理中设计和进行混合研究的指导.
主要方法:
- 这篇论文定义并解释了混合有效性-实施研究设计.
- 它展示了在社区环境中使用混合设计的痴呆症护理干预措施的三个案例研究.
- 讨论了研究设计,采样,数据收集和分析的考虑因素.
主要成果:
- 混合研究整合了有效性和实施研究问题,简化了研究到实践的管道.
- 同时关注结果和实施流程,可以更有效地转化证据.
- 所述示例展示了混合研究在不同的社区环境中的可行性和潜力.
结论:
- 混合疗效研究提供了一个有希望的策略,可以缩短实施基于证据的痴呆症护理的时间表.
- 这种方法有助于快速提供高质量的护理,并改善老年人和他们的家庭的生活质量.
- 后急性和长期护理的研究人员可以利用这些方法对痴呆症和其他慢性疾病的调查.
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