实施背景,机制和结果的过渡期护理干预措施,以防止妄想:一个混合方法的过程评估从贸易研究
Natascha-Elisabeth Denninger1,2,3, Simone Brefka4,5,6, Gabriele Meyer7
1Department of Primary Care and Health Services Research, Heidelberg University/University Hospital Heidelberg, Medical Faculty Heidelberg, Nursing Science and Interprofessional Care, Im Neuenheimer Feld 130.3, Heidelberg, 69120, Germany. Natascha.denninger@med.uni-heidelberg.de.
BMC geriatrics
|September 26, 2025
概括
这项研究优化了医院转移流程,通过涉及护理人员,防止老年患者的妄想. 尽管有COVID-19的挑战,但这次干预改善了医疗保健专业人员的意识,并强调了需要适应性护理策略的需要.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 妄想症的诱导因素已有充分证据,但环境因素,如医院转移和护理人员参与等需要更多的关注.
- 开发了一种复杂的干预措施,以优化医院转院流程和护理人员参与,以预防老年患者的妄想.
- 一项试点研究使用了四家医院的分级形设计,并进行了过程评估以探索实施.
研究的目的:
- 开发和测试一种途径,以优化医院转院流程和护理人员参与预防老年患者 Delirium.
- 探索这个复杂干预的实施背景,机制和结果.
主要方法:
- 采用了并行融合混合方法的过程评估.
- 定性和定量数据被单独分析,并使用编织方法进行整合.
- 分析以规范化过程理论和实施研究综合框架为指导.
主要成果:
- 数据包括采访,焦点小组,文档分析和问卷.
- 由于COVID-19的限制,导致部分实施,培训和护理人员参与方面存在挑战.
- 医疗保健专业人员报告说, Delirium 意识增加,教育材料受到好评.
结论:
- 排放信息,排放后的支持和教育对于预防妄想至关重要.
- COVID-19大流行影响了临床干预,强调了适应性流程和机构支持的必要性.
- 该研究提供了对复杂干预研究的混合方法过程评估的见解.
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