解决研究中的长期护理文化变化的复杂性:一个创新的新框架,解决系统层面的复杂性
Amy Elliot1, Katherine M Abbott1,2, Molly Noble1
1Scripps Gerontology Center, Miami University, Oxford, Ohio, United States.
The Gerontologist
|October 3, 2025
概括
本研究引入了长期护理研究的新框架,整合了实施科学和复杂的适应性系统,以更好地理解系统层面的文化变化. 这种方法旨在加快采用改善的护理实践.
科学领域:
- 实施科学 实施科学
- 老年学是一门学科.
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 长期护理当前的文化变革研究往往忽视了系统层面的因素,这可能会阻碍广泛采用.
- 缺乏系统层面的分析可能会阻碍改善长期护理环境的进展.
研究的目的:
- 提出一个创新的概念框架,以解决长期护理文化变化研究中的系统级复杂性.
- 整合实施研究综合框架 (CFIR) 和复杂自适应系统 (CAS) 进行先进的概念建模.
主要方法:
- 关于与实施科学相关的系统级理论的文献评论.
- 将CFIR和CAS结构集成到一个新的概念框架中.
- 使用日常生活库存的偏好和文化变革2.0的文物来说明框架应用程序.
主要成果:
- 拟议的框架提供了一个更先进的模型,用于概念化系统层面的文化变革实施.
- CFIR和CAS的整合提供了一个强大的方法来理解系统级变化的多方面的性质.
- 步行者十字路口证明了框架在分析文化变革倡议方面的实际实用性.
结论:
- 新的概念框架有效地突出了长期护理研究中的系统固有的复杂性.
- 这种综合方法对未来的研究有价值,旨在推动长期护理机构的重大文化变化.
- 采用系统层面的观点对于推进长期护理研究和实践领域至关重要.
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