导航计划,以支持社区居住的个人与生命限制疾病:实施的决定因素
Sarah Scruton1, Grace Warner2, Cynthia Kendell3
1Department of Community Health and Epidemiology, Centre for Clinical Research, Dalhousie University, Room 413, 5790 University Avenue, Halifax, NS, B3H 1V7, Canada.
BMC health services research
|January 6, 2024
概括
在加拿大,成功的以社区为基础的生命限制疾病导航计划需要强有力的领导力,适应性干预和协调员工价值观. 这些因素对于有效实施和满足患者需求至关重要.
科学领域:
- 提供医疗保健服务.
- 实施科学 实施科学
- 抚慰性护理是一项非常重要的护理.
背景情况:
- 加拿大人口老龄化和慢性疾病的增加增加了对高质量的终身护理的需求.
- 基于社区的导航计划提供了一个有希望的解决方案,但需要了解成功的实施策略.
- 本研究确定了在加拿大有效实施这些计划的关键决定因素.
研究的目的:
- 确定有助于在加拿大成功实施社区导航计划的关键决定因素.
- 了解这些计划是如何满足生命限制疾病的个体的需求的.
- 为未来导航计划的开发和整合提供信息.
主要方法:
- 11个创新的社区导航计划的定性研究.
- 在研究设计中使用了实施研究综合框架 (CFIR).
- 与23个关键信息提供者进行了半结构化采访,并使用定性描述分析了数据.
主要成果:
- 外部设置:护理差距的重要性,客户/社区关系和提供者导航.
- 内部设置:领导支持,员工兼容性和资源可用性至关重要.
- 干预/个体特点:适应性有利,成本不利;员工的协调和技能至关重要.
- 过程:强大的冠军和评估过程是关键决定因素.
结论:
- 在CFIR领域确定了成功实施计划的关键决定因素.
- 这些发现为开发和整合导航程序提供了宝贵的见解.
- 了解这些决定因素可以提高对有生命限制疾病的个体的护理.
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