将与体重相关的对话付诸实践:在残疾背景下实施知识翻译案例书的经验教训
Christine F Provvidenza1,2, Revi Bonder2, Amy C McPherson2,3,4
1Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
医疗保健提供者发现知识翻译案例书对于与残疾儿童的体重相关对话有帮助. 然而,实施的挑战,包括竞争的需求,限制了其完全融入实践.
科学领域:
- 知识 翻译 翻译
- 医疗保健通讯 医疗保健通讯
- 关于残疾人的研究.
背景情况:
- 医疗保健提供者 (HCP) 面临着与残疾儿童及其家人讨论体重的挑战.
- 开发了一个知识翻译 (KT) 案例书,提供沟通原则和资源.
- 在残疾背景下探索了KT案例书的实施.
研究的目的:
- 开发和整合基于需求的实施支持,用于KT案例书.
- 促进在儿科康复环境中采用KT案例书的沟通原则.
主要方法:
- 从加拿大儿科康复医院招募护士,医生,职业治疗师和物理治疗师.
- 使用理论领域框架来识别与体重相关对话的障碍.
- 制定和实施战略,包括研讨会,模拟,印刷材料和沟通计划.
主要成果:
- 十名医疗保健工作人员在六个月内实施了KT案例书.
- 参与者发现研讨会很清楚,但更喜欢缩写的印刷材料.
- 社区建设的实施支持没有成功;对实践整合的信心没有增加.
- 竞争的临床需求和COVID-19大流行影响了实施.
结论:
- 组织和环境背景的变化限制了实施的成功,尽管对案例书有积极的反.
- 持续监测和调整实施战略对于成功至关重要.
- 有效的实施需要在干预本身之外解决背景因素.
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