数字化,创伤信息化的护理,针对儿童烧伤环境中的卫生专业人员的教育干预措施的实施结果:混合方法评估过程
Megan Simons1, Gillian Harvey2, Lucinda McMillan3
1Occupational Therapy Department, Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, Queensland, Australia; Centre for Children's Burns and Trauma Research, Child Health Research Centre, The University of Queensland, Queensland, Australia.
概括
为儿童烧伤护理专业人员提供创伤信息护理的网络培训显示,采用率和忠诚度较低,未能显著减少儿童的疼痛,痛苦或成本. 未来的战略需要组织的支持,以更好地实施.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 创伤信息化的护理
- 实施科学 实施科学
背景情况:
- 医疗创伤对儿童和照顾者的影响很大.
- 创伤信息化护理 (TIC) 实践培养了安全文化.
- 在儿科环境中实施ICT存在挑战.
研究的目的:
- 评估"响应式护理"的可行性和初步有效性,这是为儿科烧伤卫生专业人员提供基于网络的培训.
- 检查实施结果,包括采用,可接受性,忠实性和可行性.
- 评估ICT培训对儿童疼痛,痛苦和医疗保健成本的影响.
主要方法:
- 使用实施研究综合框架 (CFIR) 和逻辑模型进行混合方法的过程评估.
- 卫生从业人员自愿参加"响应式护理"培训.
- 一项试验前后试验有效性研究,涉及门诊烧伤服务中的儿童和护理人员.
- 与工作人员和护理人员进行定性访谈,并进行定量元数据分析.
主要成果:
- 低采用率 (13/50注册专业人员) 和忠诚度限制了对因果假设的测试.
- 四个主题影响了干预的可行性和可接受性:保持创伤信息化的镜头,纳入ICT,系统约束和创伤信息化.
- 在对照组和干预组之间,没有发现儿童疼痛,痛苦或每病人的医院护理费用有显著差异.
结论:
- "响应式CARE"干预需要对干预和实施策略进行调整,以提高采用率和忠诚度.
- 组织支持对于保持创伤信息透镜和将ICT原则纳入医疗保健至关重要.
- 改变临床医生的行为来采用ICT是复杂的,需要进一步研究有效的实施策略.
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