在大型学习卫生系统中进行败血症干预的预实施规划:定性研究
Tara A Eaton1, Marc Kowalkowski2,3, Ryan Burns4
1Center for Health System Sciences, Atrium Health, 1300 Scott Ave, Charlotte, NC, 28203, USA. tara.eaton@atriumhealth.org.
实施败血症过渡和恢复 (STAR) 计划需要解决已确定的促进者和障碍,以改善败血症后的护理. 这项定性研究为败血症幸存者提供了成功实施策略的信息.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 败血症幸存者面临着显著的发病率和死亡率.
- 对于败血症后护理过渡的现有最佳实践未得到充分利用.
- 败血症过渡和恢复 (STAR) 计划是为了改善败血症后护理协调而开发的.
研究的目的:
- 确定实施STAR计划的促进者和障碍者.
- 为I型混合动力试验的实施前规划提供信息.
- 了解影响成功采用败血症后护理干预措施的因素.
主要方法:
- 使用与领导者和临床医生的半结构面试 (n=16) 进行的定性研究.
- 分析采用了基于实施研究综合框架 (CFIR) 的演/归纳策略.
- 使用常量比较方法进行数据分析.
主要成果:
- 确定了6个促进者,包括与卫生系统目标的协调和强有力的沟通.
- 确定了五个障碍,例如竞争的员工需求和患者技术差距.
- 促进者和障碍者跨越了所有五个CFIR领域.
结论:
- CFIR是一个强大的框架,用于实施前规划毒症后护理计划.
- 结构化的实施前评估对于设计有效的干预措施至关重要.
- 这种方法有助于研究人员在有效性研究之前设计并考虑实施.
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