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实施理论建议 选择模型和在预防摔倒伤害方面示例应用
Alexandra M B Korall1,2, Helen Chong3, Vicki Komisar3,4
1George & Fay Yee Centre for Healthcare Innovation, Winnipeg, MB, Canada.
PloS one
|November 27, 2024
概括
一个新的实施理论选择模型 (ITSM) 提供了在实施研究中选择理论,模型和框架 (TMF) 的系统方法. 这种方法在长期护理环境中成功地证明了部保护器的实施.
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
- 知识 翻译 翻译
背景情况:
- 理论,模型和框架 (TMF) 对于在研究和实践中制定有效的实施策略至关重要.
- 现有的TMF选择建议缺乏系统的,明确的方法.
- 需要一个结构化的方法来指导适当的TMF的识别和选择.
研究的目的:
- 提出一个系统的,基于共识的方法来选择TMF来支持实施过程.
- 在长期护理 (LTC) 中实施部保护器的背景下证明这种新方法的应用.
主要方法:
- 开发了实施理论选择模型 (ITSM),这是一个基于共识的五步过程.
- 这些步骤包括通过共识识别,缩小,评估,优先考虑和选择TMF.
- 在一个检查LTC中部保护器实施的项目中运行了ITSM.
主要成果:
- 确定了66个潜在的TMF,缩小到23个符合条件的TMF.
- 六个TMF被优先考虑和评估,最终的选择是通过共识进行的.
- 实用,稳健的实施和可持续性模型和实施研究的综合框架是由研究用户选择的.
结论:
- 在实施研究中,ITSM提供了一种严格,透明和可重复的TMF选择方法.
- 该案例示例展示了ITSM在现实环境中的可行性.
- 需要进一步的研究来评估和完善ITSM,以适应不同的实施环境.
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