系统地调整公共卫生息护理干预措施跨设置使用适应指南:从EU NAVIGATE项目的方法学习
Fien Van Campe1,2,3, Kenneth Chambaere1,3, Lara Pivodic1,2
1End-of-Life Care Research Group, Vrije Universiteit Brussel & Universiteit Gent, Brussels, Belgium.
Palliative medicine
|March 19, 2025
概括
在国际范围内调整公共卫生息护理干预措施是可行的,使用适应指南. 仔细考虑方法,上下文和概念因素对于成功转移基于证据的程序至关重要.
科学领域:
- 公共卫生 公共卫生
- 抚慰性护理是一种缓解性护理.
- 卫生干预调整适应健康干预
背景情况:
- 基于证据的干预措施的系统调整对于交叉设置的有效性至关重要.
- 公共卫生息护理干预存在独特的适应挑战,因为复杂性和现实世界的设置.
- ADAPT指南为干预调整提供了一个框架,但其在公共卫生息护理中的应用尚未被探索.
研究的目的:
- 描述一下在六个欧洲国家为老年癌症患者提供加拿大导航计划的国际适应.
- 反思应用ADAPT指南对公共卫生息护理的方法见解.
- 促进基于证据的干预措施在各种医疗保健环境中的转移.
主要方法:
- 采用了一种代的,五阶段的,多方法的方法,遵循ADAPT指南.
- 评估背景干预的合适性,确定核心/可适应组件,并分析背景.
- 调整实施材料和培训,并审查可行性.
主要成果:
- 适应指南是灵活和适应有用的.
- 系统性适应面临着挑战,平衡干预完整性与文化和监管因素.
- 通过上下文评估,核心组件识别,开发人员参与和协作团队合作来解决挑战.
结论:
- 使用ADAPT指南系统地调整公共卫生息护理干预是可行的.
- 成功的转移需要仔细的方法论,上下文和概念考虑.
- 国际合作和适应是有效实施复杂卫生干预措施的关键.
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