在COVID-19大流行期间实施MIRROR-TCM随机对照试验:混合方法评估
Molly McHugh1, Karen B Hirschman1, Mark P Toles2
1NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Journal of advanced nursing
|November 25, 2024
概括
COVID-19大流行挑战了过渡期护理模式 (TCM) 的实施,这是一个先进的实践注册护士领导的干预. 研究结果强调了在从医院到家庭过渡期间需要强有力的支持.
科学领域:
- 医疗保健的提供和患者的结果.
- 护理干预和患者护理.
- 基于证据的医疗保健解决方案.
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
- 过渡期护理模式 (TCM) 是一种基于证据的干预措施,旨在改善患者从医院到家的过渡.
- 在公共卫生危机期间评估先进实践注册护士主导干预措施的实施至关重要.
研究的目的:
- 评估在COVID-19流行病的最初一年期间,过渡期护理模型 (TCM) 的实施忠实度.
- 在全球卫生危机中识别挑战并制定实施基于证据的护理干预措施的策略.
- 了解大流行对提供多组件先进实践注册护士领导干预的影响.
主要方法:
- 采用了并行融合混合方法的方法.
- 数据从2020年6月到2021年2月收集,涉及78名接受TCM的患者和68次与系统领导人和临床团队的会议.
- 描述性统计,定向内容分析和联合显示被用于数据分析.
主要成果:
- 对TCM组件的忠诚度差异很大,医院对家庭的访问率从14.3%到100%不等,而维持关系元素显示出高忠诚度 (97.3%-98.6%).
- 确定了27个实施挑战和15个策略,以在疫情期间保持TCM忠诚度.
- 疫情广泛影响了所有参与站点的TCM交付.
结论:
- COVID-19大流行严重影响了过渡期护理模式 (TCM) 的实施.
- 这项研究强调了在从医院到家庭过渡期间为患者和护理人员提供增强服务和支持系统的迫切需要.
- 调查结果将为在不同医疗机构实施和扩大过渡期护理和其他基于证据的干预措施提供信息.
更多相关视频
相关概念视频
Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
Controls in Experiments
6.9K
When conducting an experiment, it is crucial to have control to reduce bias and accurately measure the dependent variables. It also marks the results more reliable. Controls are elements in an experiment that have the same characteristics as the treatment groups but are not affected by the independent variable. By sorting these data into control and experimental conditions, the relationship between the dependent and independent variables can be drawn. A randomized experiment always includes a...
6.9K
Randomized Experiments
6.7K
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
6.7K
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
Group Design
8.9K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
8.9K


