这又是一个失败的项目吗? 使用i-PARIHS框架来评估指导计划的实施情况
Lena Nyholm1, Lena Gunningberg2, Eva Jangland1
1Department of Surgical Sciences, Nursing Research, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
Journal of advanced nursing
|January 4, 2024
概括
实施护士指导计划面临挑战,原因是缺乏经验丰富的辅导员和资源. 卫生服务研究实施的综合促进行动 (i-PARIHS) 框架有助于确定这些实施障碍.
科学领域:
- 医疗保健管理的管理
- 护理教育 护理教育
- 实施科学 实施科学
背景情况:
- 在医疗保健中实施基于证据的实践是复杂的.
- 卫生服务研究实施的综合促进行动 (i-PARIHS) 框架为成功实施提供了一个模型.
- 对护士的指导计划是有价值的,但可以挑战有效实施.
研究的目的:
- 评估为床边护士实施多方面的指导计划的实施情况.
- 确定影响护士指导计划实施的因素.
- 利用i-PARIHS框架对实施过程进行回顾性分析.
主要方法:
- 定性数据的二次分析.
- 应用i-PARIHS框架作为一个理论镜头.
- 有针对性的内容分析,重点关注创新特征和实施因素.
主要成果:
- 支持性的领导和主管的积极参与是关键的成功因素.
- 缺乏资源 (人员,时间,金钱) 严重阻碍了实施.
- 一个关键的障碍是整个组织中缺乏经验丰富的辅导员.
结论:
- 导师计划的实施提出了组织方面的挑战.
- 建议继续投资,并推一个更加结构化的促进流程.
- 建立一个优先级管理系统,支持单位层面的领导,对于可持续性至关重要.
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