在专业息护理中使用镇静药物 (iSedPall):多模式干预试点研究协议
Christoph Ostgathe1, Claudia Bausewein2, Eva Schildmann2,3
1Department of Palliative Medicine, CCC Erlangen - EMN, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Pilot and feasibility studies
|April 11, 2025
概括
这项研究试验了一项新的干预措施,以帮助医疗保健专业人员在息治疗中安全有效地使用镇静剂. 多模式干预旨在通过解决医疗,伦理和法律挑战来改善临床实践和患者的结果.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
- 临床干预开发 临床干预开发
背景情况:
- 在专业息护理中使用镇静药物带来了重大的医疗,伦理和法律挑战.
- 现有的指南缺乏医疗保健专业人员关于镇静剂药物管理和文档的实际工具.
- 从2021年开始的国家建议需要转化为可操作的临床实践工具.
研究的目的:
- 开发和试验一种多模式干预 (iSedPall),以执行国家在专业息护理中使用镇静药物的建议.
- 评估iSedPall干预的可行性,适当性和可接受性.
- 评估测量医疗保健专业人员对使用镇静药物的信心的可行性.
主要方法:
- 一种混合方法方法,结合了定量 (回顾性队列研究,调查) 和定性 (焦点小组,采访) 数据.
- 坚持医学研究理事会 (MRC) 对复杂干预和变化理论方法的框架.
- 在9个月的时间里,该干预措施在四个专门的息护理服务中进行了试点测试.
主要成果:
- 试点研究将提供关于多模式干预的可行性,适当性和可接受性的数据.
- 定量和定性数据将为评估干预的实施过程提供信息.
- 将评估衡量医疗保健专业人员对镇静药物的使用信心的可行性.
结论:
- 该项目是首次尝试将国家使用镇静药物的建议转化为实际干预.
- 研究方案包括基于变化理论方法的风险减轻策略.
- 参与元素和利益相关者的参与有望提高用户接受度和可行性.
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