"在那里":在复苏和侵入性手术过程中家庭存在的经验逻辑模型
Margo A Halm1, Halley Ruppel2, Jessica Sexton3
1Margo A. Halm is a nurse-scientist consultant in Portland, Oregon.
概括
在重症监护期间家庭的存在增强了患者和家庭的体验. 这种基于证据的"Being There"模型指导了各种环境中的实施,为所有参与者促进了更好的结果.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 在复苏和侵入性手术期间,家庭的存在始于20世纪80年代.
- 自20世纪90年代以来,受到美国重症护理护士协会等主要组织的支持.
- 全球采用和研究强调了其在重症监护中的重要性.
研究的目的:
- 描述一个实证的"Being There"模型,用于家庭存在干预.
- 为制定和评估家庭存在计划提供一个框架.
- 引导实施科学研究,以实现持续的采用.
主要方法:
- 基于超过125个外部证据来源的"Being There"模型的开发.
- 使用逻辑模型框架来概述程序组件.
- 纳入计划开发,评估和实施科学建议.
主要成果:
- "Being There"模型详细介绍了程序组件:情况,优先级,输入,输出,结果/影响,假设和外部因素.
- 为振兴或启动家庭存在计划提供指导.
- 确定实施科学研究的需求.
结论:
- "在场"模式为家庭存在计划提供了一个全面的框架.
- 适用于儿科和成人重症监护,急诊和高急症设置.
- 强调需要研究有效的采用和可持续性战略.
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