促进者,障碍和指导成功实施跨学科过渡期护理干预措施:使用实施研究综合框架进行定性系统审查
Romain Collet1,2,3,4, Juul van Grootel5,6, Marike van der Leeden1,6,7
1Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Rehabilitation Medicine, de Boelelaan 1117, Amsterdam, The Netherlands.
实施多学科的过渡性护理干预措施需要解决人员短缺和成本等障碍. 关键的促进因素包括全面的评估和改进的沟通,以便更好地协调患者护理.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 患者护理协调与协调
背景情况:
- 多学科过渡期护理干预措施旨在加强复杂需求患者的医疗保健协调.
- 由于涉及多个利益相关者和环境,实施具有挑战性.
- 了解促进者和障碍者对于成功的干预策略至关重要.
研究的目的:
- 为实施多学科过渡期护理干预措施提供促进者和障碍的概述.
- 为制定有效的实施策略提供信息.
主要方法:
- 使用实施研究综合框架 (CFIR) 进行定性系统审查.
- 搜索了Embase,CINAHL和Medline的相关定性研究.
- 通过使用关键评估技能计划 (CASP) 评估方法的严谨性.
主要成果:
- 包括12项研究,确定了79个影响实施的因素.
- 关键促进者:全面的需求评估,量身定制的后续护理,改善沟通.
- 主要障碍:医院床位短缺,时间限制,初级保健专业人员的可用性,安排冲突,干预成本.
结论:
- 鉴定的因素可以指导过渡期护理干预措施的实施.
- 数字工具和替代融资可以解决成本和资源限制的问题.
- 需要对有效的实施策略进行进一步的研究,同时考虑已识别的因素.
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