无法实施护理干预来支持家庭护理人员:使用规范化过程理论的评估研究
Yvonne N Becqué1,2, Judith A C Rietjens2,3, Agnes van der Heide2
1Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Journal of advanced nursing
|June 17, 2024
概括
实施护理人员支持需求评估工具对终身护理的家庭护理人员面临挑战. 组织因素和研究背景阻碍了其整合,尽管它有提高护士能力的潜力.
科学领域:
- 医疗保健实施科学 医疗保健实施科学
- 终身护理研究 终身护理研究
- 护理干预研究 护理干预研究
背景情况:
- 照顾者支持需求评估工具 (CSNAT) 的干预旨在支持终身护理期间的家庭照顾者.
- 之前的一项试验的参与人数较少,因此需要对实施失败的评估.
研究的目的:
- 评估CSNAT对终身护理家庭护理人员的干预措施的落实失败.
- 识别阻碍和促进试验环境中的干预正常化因素.
- 为未来的复杂护理干预实施吸取教训.
主要方法:
- 一项评估研究,使用采访,问卷,电子邮件和对话笔记的回顾性数据收集.
- 以规范化过程理论 (NPT) 为指导的主题分析构造:连贯性,认知参与,集体行动和反射监测.
主要成果:
- 护士们认识到CSNAT的竞争力潜力,但缺乏对其与常规实践的区别 (一致性) 的明确性.
- 护士冠军促进了实践社区,尽管员工流动和短缺给可持续性带来了挑战 (认知参与).
- 培训提高了护士支持护理人员的能力,但以患者为中心的护理和高工作负载使实施复杂化 (集体行动).
- 积极的护士经验是激励的,但研究背景在招募参与者方面产生了犹,原因是感知到负担 (反射监测).
结论:
- 虽然CSNAT的干预显示了为家庭护理人员提供量身定制的支持的潜力,但它并没有被最佳地纳入实践.
- 背景因素,包括以患者为中心的方法和研究环境,阻碍了干预的正常化.
- 未来的实施需要仔细评估影响复杂护理干预的上下文因素.
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