使用规范化过程理论来评估在社区和中等护理长期COVID诊所实施数字健康干预的情况
Fiona A Stevenson1, Paul Pfeffer2, Sarah Walker3
1Research Department of Primary Care and Population Health, University College London, London, UK f.stevenson@ucl.ac.uk.
BMJ open
|November 28, 2024
概括
实施长期COVID自我管理的数字健康干预措施 (DHI) 在补充护理方面显示出希望. 灵活性和协作是成功融入现有医疗保健系统的关键,尽管DHI不能取代面对面的咨询.
科学领域:
- 数字健康干预措施 (DHI)
- 长时间的COVID管理
- 医疗保健技术实施 医疗保健技术实施
背景情况:
- 数字健康干预 (DHI) 提供了潜在的好处,但面临着重大实施挑战.
- 长期COVID的支持自我管理需要患者和临床医生的有效工具.
- 疫情期间DHIs的快速发展和部署呈现出独特的背景因素.
研究的目的:
- 探索长期COVID支持的自我管理的DHI的实施.
- 了解临床医生和研究人员在部署面向患者的应用程序和临床医生仪表板方面的经验.
- 确定影响DHI成功融入医疗保健服务的因素.
主要方法:
- 定性反射的主题分析.
- 使用规范化过程理论 (NPT) 作为分析框架.
- 分析了55.5小时的Zoom记录与医疗保健专业人员和研究团队的会议.
主要成果:
- 在不同信托机构中,DHI表现出灵活性和与现有医疗保健工作流程的协调.
- 医疗保健专业人员合作实施DHI,适应当地情况.
- 医疗保健机构被视为面对面护理的补充,而不是替代,有可能改变患者参与模式.
结论:
- 规范化过程理论 (NPT) 有效地对DHI实施中的个人和组织因素进行了分析.
- 考虑背景,工作和实际效果有助于管理DHI开发和部署的复杂性.
- 该研究提供了关于在动态环境中对DHIs的精制和实施过程的有序洞察.
相关概念视频
Community Based Intervention
33
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
33
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Nursing Implementation
4.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.9K
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K


