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为残疾人实施智能节制护理:对关键利益相关者的第一手经验进行定性研究
Julia Fe van Calis1, Vivette Jc van Cooten2,3, Odile Smeets2
1Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Digital health
|October 18, 2024
概括
在残疾人环境中实施智能节制护理 (SCC) 是通过利益相关方的支持,明确的沟通和有效的解决问题来加强的. 早期参与和解决采用障碍是成功,可持续的智能禁欲护理 (SCC) 的关键.
科学领域:
- 医疗信息学 医疗信息学
- 关于残疾人的研究.
- 护理人员支持技术
背景情况:
- 智能节制护理 (SCC) 为患有深度智力和多重残疾 (PIMD) 的人提供了潜在的好处,旨在提高生活质量和减少护理人员的工作负担.
- 在复杂的PIMD护理环境中成功实施SCC需要进一步研究实际应用和克服采用障碍.
研究的目的:
- 反思和分析在服务机构内实施智能节制护理 (SCC) 的实施过程,为深度智力和多重残疾人 (PIMD) 提供服务.
- 确定影响SCC在PIMD护理中的成功采用和可持续性的关键因素.
主要方法:
- 与四个护理组织的关键利益相关者,护理人员和SCC项目负责人进行了15次半结构化访谈.
- 利用电子卫生实施的综合框架,将电子卫生研究中心路线图和非采用,放弃,扩大,扩散和可持续性 (NASSS) 框架结合起来.
- 采用专题分析和开放编码来确定实施过程中的关键主题和子主题.
主要成果:
- 出现了四个关键主题:创造支持,利益相关者之间的沟通,解决问题和愿意采用SCC.
- 早期的利益相关者参与和明确的沟通促进了SCC实施的明确性和支持.
- 有效的解决问题被认为对SCC利用和愿意采用以人为中心的节制护理具有影响.
结论:
- 成功的SCC实施需要改变工作例程,早期的利益相关者参与改善支持.
- 促进沟通和强有力的问题解决有助于创造积极的经验,并感知到可持续的SCC的成功.
- 调查结果为SCC在残疾人护理中的实施提供了洞察力,并可能为其他医疗保健机构的技术采用提供信息.
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