背景有所不同:一项定性研究,探讨如何在社区中实施多因素落预防干预措施.
Sara Vandervelde1,2, Bernadette Dierckx de Casterlé1, Ellen Vlaeyen1,2,3
1Department of Public Health and Primary Care, Academic Center for Nursing and Midwifery, KU Leuven, Kapucijnenvoer 7 bus 7001, Leuven, 3000, Belgium.
BMC public health
|February 5, 2025
概括
对老年人实施多因素防摔干预措施需要了解上下文因素. 社区成功实施的关键主题包括利益相关者参与,意识,主动工作和协调护理融资.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 布对居住在社区的老年人构成重大风险.
- 建议多因素防摔干预措施,但面临实施挑战.
- 背景因素极大地影响干预实施和结果.
研究的目的:
- 分析影响多因素落预防干预措施实施的决定因素.
- 描述影响法兰德斯 (比利时) 实施的所有层面的上下文因素.
主要方法:
- 使用半结构面试和重点小组与关键人物,医疗保健专业人员,政策制定者和老年人进行定性研究.
- 使用实践决定因素综合检查清单 (TICD) 检查清单来开发面试指南.
- 数据使用卢旺的定性分析指南 (QUAGOL) 和NVivo 12TM软件进行分析.
主要成果:
- 确定了成功实施的四个关键主题:利益相关方参与,促进意识/知识/技能,积极参与和协调护理融资.
- 从TICD检查清单中确定了33个决定因素,涵盖了所有七个领域.
- 环境理解对于定制干预措施至关重要.
结论:
- 了解社区结构,规范,政策和背景因素是必不可少的.
- 积极地将实施策略和干预措施与社区环境进行调整,提高了效率.
- 成功实施取决于全面的方法,解决多种决定因素.
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