共同设计一个以理论为基础的实施计划,为护理院中痴呆症患者提供整体电子健康评估和决策支持框架
Juliet Gillam1, Catherine Evans1,2, Jesutofunmi Aworinde1
1Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, Cicely Saunders Institute of Palliative Care, King's College London, London, UK.
Digital health
|November 30, 2023
概括
共同设计一个eHealth实施计划,在养老院为痴呆症护理至关重要. 这项研究制定了激励采用,启用运行和持续使用EMBED-Care框架的策略,涉及最终用户以获得现实世界的相关性.
科学领域:
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
- 实施科学 实施科学
背景情况:
- 电子健康干预措施在痴呆症护理方面表现有前途,但在日常实践中面临挑战.
- 尽早让最终用户参与实施计划是弥合研究成果和临床应用之间的差距的关键.
- 养老院需要量身定制的战略,以有效地整合技术,以支持痴呆症患者.
研究的目的:
- 共同设计EMBED-Care框架的实施策略,这是一个用于养老院痴呆症护理的电子健康干预措施.
- 解决在住院痴呆症护理机构实施电子健康的障碍和促进因素.
- 为在痴呆症护理中采用电子健康制定一个理论上有根据的和最终用户验证的计划.
主要方法:
- 使用与家庭护理人员和卫生/社会护理从业人员的研讨会进行定性联合设计方法.
- 利益相关者参与会议,涉及痴呆症患者,以收集各种观点.
- 以规范化过程理论 (NPT) 为指导的专题分析来构建实施策略.
主要成果:
- 确定了三个实施阶段:激励采用,使运行可行,并维持使用.
- 与NPT构造一致的战略:连贯性,认知参与,集体行动和反射监测.
- 共同设计过程产生了一个多策略计划,解决电子健康实施的实际方面.
结论:
- 为在痴呆症护理环境中实施电子健康,制定了理论驱动的多策略计划.
- 成功实施电子卫生取决于激励采用,使运营能力,并促进持续使用.
- 与最终用户合作的共同设计提高了实施策略的相关性和适用性,以实现现实世界的影响.
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