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实施澳大利亚关于在住院老年护理中适当使用精神药物药物的新指南:应用实施研究综合框架
Shakti Shrestha1, Amanda J Cross2, Michelle Steeper3
1Faculty of Health, Medicine and Behavioural Sciences, School of Pharmacy and Pharmaceutical Sciences, The University of Queensland, Dutton Park Campus, Woolloongabba, Queensland, Australia.
Australasian journal on ageing
|March 14, 2025
概括
在澳大利亚住院养老机构 (RACFs) 实施心理药物治疗的新临床指南需要解决劳动力压力和利用数据. 识别上下文因素是成功翻译指南和改善心理药物使用的关键.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管有不良事件的证据,澳大利亚住院老年护理设施 (RACFs) 的精神药物使用仍然很高.
- 在2023年4月发布了关于在痴呆症患者和住院老人护理中适当使用心理药物的新临床实践指南.
研究的目的:
- 确定影响RACF新澳大利亚临床实践指南实施的上下文因素.
- 为有效实施和翻译指南的战略提供信息.
主要方法:
- 这是一项定性研究,涉及对来自澳大利亚四个RAC组织的33名参与者的半结构面试.
- 专题分析采访数据,使用实施研究综合框架 (CFIR) 进行演编码:外部设置,内部设置,个人和实施过程.
主要成果:
- 外部设置因素包括监管变化,工作量增加和劳动力需求.
- 内部设置因素包括健康数字化,治理和合规文化.
- 个人因素涉及心理药物和员工能力的思维方式. 关键的实施策略包括认识到劳动力压力,利用最近的努力,支持本地数据使用和团队运作.
结论:
- 外部,内部和个人因素构成了实施新指南的相互联系的框架.
- 四个关键策略提供了新的方法来支持翻译和采用RACF中的指南.
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