在复杂干预中探索变化机制:从纵向建设主义立足理论研究中吸取的经验教训
Stephanie Kipfer1,2, Cedric Mabire2, Andrea Koppitz1
1School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland - Fribourg, Fribourg, Switzerland.
Global qualitative nursing research
|March 24, 2025
概括
本研究展示了如何使用纵向接地理论方法探索复杂的健康干预机制. 了解随着时间的推移而发生的变化机制,为护理人员提供了对干预有效性的更深入的见解.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 定性研究方法 定性研究方法
- 护理研究 护理研究
背景情况:
- 有效的复杂健康干预需要了解其潜在的变化机制.
- 定性方法对于探索干预过程的细微差别至关重要.
- 纵向设计捕捉了复杂干预所必需的时间动态.
研究的目的:
- 为探索复杂的卫生干预中变化机制提供一个实用的例子.
- 为了证明一个纵向的构造主义基于理论的应用方法.
- 分享从将这种方法应用于痴呆症护理人员的精神教育干预中学到的经验教训.
主要方法:
- 采用了纵向构造主义基于理论的方法.
- 数据是通过与家属痴呆症护理人员的访谈收集的.
- 定量干预结果被整合到定性分析中.
主要成果:
- 在不同时间点对数据进行比较,发现了参与者未明确声明的微妙变化.
- 干预期间的采访比干预后的采访更能深入了解变化意识.
- 参与者内部和跨参与者分析确定了独特和共享的变化途径.
- 整合定量数据突出了变革的促进者和障碍.
结论:
- 纵向构造主义基于理论的方法有效地阐明了复杂的干预变化机制.
- 考虑到参与者体验的时间性和复杂性,对于深入理解至关重要.
- 这种方法为开发和完善健康干预提供了有价值的见解.
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