评估虚拟实践社区作为智障护理需求评估框架的实施策略:一个准实验性的多方法研究
Esther H Bisschops1, Noud Frielink2, J Clasien de Schipper1
1Faculty of Behaviour and Movement Sciences, Section of Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Journal of applied research in intellectual disabilities : JARID
|January 18, 2025
概括
虚拟实践社区 (VCoP) 的参与并没有显著改善需求评估框架 (NAF) 的实施,也没有显著提高员工对智障人士非自愿照顾的认识. 然而,实施者发现这个过程有帮助.
科学领域:
- 智力障碍 护理 照顾 智力障碍
- 医疗保健实施科学 医疗保健实施科学
- 以患者为中心的护理
背景情况:
- 需求评估框架 (NAF) 旨在提高护理人员对客户观点的认识,以提高对智力残疾人的非自愿护理决策的认识.
- 虚拟实践社区 (VCoP) 被探索为一种支持医疗保健框架实施计划设计的方法.
研究的目的:
- 调查实施者参与VCoP对NAF实施的影响.
- 评估VCoP参与对护理人员关于智力障碍客户在非自愿护理中的前景的认识的影响.
主要方法:
- 一个准实验性设计比较了使用VCoP参与的组织中的NAF实施和员工意识,与使用通常实施方法的组织进行比较.
- 评估了7个组织的护理人员 (n=54) (4个干预,3个控制).
- 在VCoP中对ITFits工具包的定性分析探索了实施计划的选择.
主要成果:
- 在VCoP干预组和对照组之间没有观察到NAF实施或员工意识的统计学上显著差异.
- 实施者报告说,在实施过程中的合作和ITFits工具包是有益的.
结论:
- 虽然VCoP参与没有产生统计学上显著的改进,但实施者反表明协作设计流程的价值.
- 进一步的研究应该评估实施的有效性和过程,以告知日常实践中的反复变化,以非自愿的护理.
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