在COVID-19大流行期间,对培养护理干预措施的适应性进行全球范围的审查
Lidia Godoi1,2, Simone Schenkman1, Ana A Baumann3
1Department of Policy, Management and Health, School of Public Health, University of São Paulo, São Paulo, Brazil.
培养护理干预措施 (NCIs) 在COVID-19期间适应,远程交付证明是可行的和有效的. 战略规划和伙伴关系确保了这些重要的儿童健康计划的可持续性和复制性.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 儿童发展 儿童发展
背景情况:
- 在COVID-19大流行期间,儿童经历了严重的营养不良和健康问题.
- 培养护理干预 (NCI) 对儿童平等至关重要,包括健康,营养,学习和安全.
- 分析了NCIs中的调整,以告知基于证据的反应和未来的准备.
研究的目的:
- 在COVID-19大流行期间分析培养护理干预 (NCI) 实施策略的适应情况.
- 了解如何修改NCIs以维持在全球危机中提供服务.
- 评估适应NCIs的有效性和可行性.
主要方法:
- 进行了对同行评审和非同行评审文献的全球范围审查.
- 搜索包括主要的数据库 (PubMed,Embase,Scopus等). 和互联网搜索.
- 数据的提取和分析遵循了基于证据的实施策略的调整和修改报告框架 (FRAME-IS).
主要成果:
- 在六大洲确定了27个NCI,内容,评估,培训和上下文 (例如,转向远程交付) 进行了调整.
- 关键的适应目标包括可行性 (89.3%) 和可持续性 (82.1%),由组织和从业者的需求驱动.
- 调整往往是无计划的 (75.0%),由计划领导者 (75.0%),发生在组织和社区系统层面.
结论:
- 在全球危机期间,NCIs可以维持和改进,远程交付提供了一个可行的替代方案.
- 战略规划,利用现有结构和伙伴关系,增强NCI的可持续性,并促进复制.
- 适应证明了NCI计划在具有挑战性的情况下的弹性和适应性.
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