使用RE-AIM框架评估老年人互联网+康复护理实施的促进者和障碍:一种定性研究
Haixia Wang1, Yuanmin Jia2, Bin Ma2
1School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China; University of Health and Rehabilitation Sciences, Qingdao, China.
概括
实施互联网+康复护理服务面临的挑战包括意识低,成本高,但受益于强的需求和政策支持. 解决这些障碍是成功采用和维护的关键.
科学领域:
- 医疗保健创新 医疗保健创新
- 护理信息学 护理信息学
- 康复医学 康复医学 康复医学
背景情况:
- 互联网+康复护理服务正在成为延长护理的新方法.
- 了解实施促进者和障碍者对于成功的整合至关重要.
研究的目的:
- 识别和描述在实施互联网+康复护理服务期间遇到的促进者和障碍.
- 为优化这些服务的采用和可持续性提供基于证据的建议.
主要方法:
- 一个描述性的定性研究,采用面对面,半结构面试.
- 对参与互联网+康复护理服务的康复护士进行有目的抽样.
- 利用RE-AIM框架指导面试过程和分析.
主要成果:
- 促进者包括高需求,良好经济地位,可访问的教学,服务满意度,增加医院知名度和政策支持.
- 障碍包括意识薄弱,不信任,遵守程度低,工作与家庭之间的冲突,培训不标准,成本高,利能力低,软件问题,从医疗保险中排除,以及形式主义.
- 确定的主要维度是覆盖范围,有效性,采用,实施和维护.
结论:
- 未来的研究应该集中在评估互联网+康复护理服务的采用,实施和维护阶段.
- 结果为在中国实施互联网+康复护理服务提供了实际建议.
- 强调需要解决已识别的障碍,以实现更广泛的采用和持续使用.
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