利用实施研究的综合框架,确定实施生殖健康教育计划的挑战和机会,将其应用于状细胞病的护理
Zachary A Colton1, Sophia M Liles1, Megan M Griffith1
1Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States.
Journal of pediatric psychology
|May 3, 2024
概括
一个基于网络的程序,FUTURES,是为了改善状细胞病 (SCD) 患者的生殖保健而开发的. 使用CFIR的实施研究确定了将这种重要的患者教育工具整合到临床实践中的关键挑战和机会.
科学领域:
- 生殖健康 生殖健康
- 实施科学 实施科学
- 血液学 血液学 血液学
背景情况:
- 在状细胞疾病 (SCD) 中生存率的提高需要改善生殖保健.
- 一个基于网络的程序,FUTURES,创建,以解决生殖健康教育差距在SCD.
- 实施研究综合框架 (CFIR) 被用于指导预实施.
研究的目的:
- 确定FUTURES计划的实施挑战和机会.
- 优化FUTURES在SCD患者的临床实践中的整合.
- 使用CFIR来评估影响实施的个人到系统级因素.
主要方法:
- 与临床医生,研究小组,SCD患者和护理人员进行了31次半结构面试.
- 诱导性地进行编码面试.
- 将采访数据映射到CFIR领域:外部设置,内部设置,个人特征,干预特征.
主要成果:
- 鉴定了普遍缺乏生殖护理指南和知识差距作为FUTURES的理由.
- 临床医生强调了组织内部的沟通需求和竞争的优先事项.
- 利益相关者对FUTURES的长度,参与度,可访问性和内容表示了积极的看法.
结论:
- 在CFIR的预实施分析中,发现了FUTURES集成的关键挑战和机遇.
- 这些发现将指导FUTURES计划的调整和进一步测试.
- 这一新型生殖健康教育计划的有效实施是最终目标.
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