开发一个变化理论,以指导设计和实施以护理人员为中心的支持服务
Ling Ting Wu1, George Frederick Glass1, Esther Yin Hui Chew1
1Nursing Implementation, Translation and Research Office (NITRO), Tan Tock Seng Hospital, Nursing Service, Annex 1, Level 1, 11 Jln Tan Tock Seng, Singapore, 308443, Singapore.
家庭护理人员经历了相当大的压力. 项目"照顾者重要"使用变革理论来指导一个支持计划,旨在改善照顾者和照顾者的结果.
科学领域:
- 老年学与公共卫生
- 医疗保健管理的管理
- 健康心理学 心理健康心理学
背景情况:
- 越来越多的人口老龄化需要对家庭护理人员提供有效的支持.
- 护理人员的压力和负担会对护理人员的福祉和护理接收者的结果产生负面影响.
- 项目"照顾者重要"是为了应对这些挑战,并支持家庭照顾者而开发的.
研究的目的:
- 开发和应用一个变革理论为项目护理者事项,一个护理者支持计划.
- 引导旨在减少护理人员压力的干预措施的设计,实施和评估.
- 改善护理人员和护理接收者的健康和经济成果.
主要方法:
- 采用了变化理论的方法,将因果分析与现有证据相结合.
- 从先前的关于护理人员压力和利益相关者参与的研究中收集了洞察力.
- 与临床专家和医院领导人的多次对话为理论发展提供了信息.
主要成果:
- 试点阶段的评估导致了对项目负责人事项的改进变化理论.
- 变化理论绘制了与项目相关的资源,活动和短期到长期结果.
- 计划,做,研究,行动模式被用来改进实施和变革理论.
结论:
- 变革的动态理论对于指导复杂的医疗保健干预措施至关重要,如项目护理人员问题.
- 纳入利益相关者的观点可以确保项目的可行性和长期可持续性.
- 持续的利益相关者参与对于有效的项目改进和实施至关重要.
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