使用远程医疗改善住院老年护理中的息护理:嵌入步骤边缘集群随机对照试验中的现实过程评估协议
Kayla Lock1,2, Anita M Y Goh1,2,3, Katrin Gerber2,4,5
1Department of Medicine - Royal Melbourne Hospital, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Australia.
JMIR research protocols
|October 20, 2025
概括
这份对老年护理机构IMPART干预措施的现实过程评估探讨了实施障碍和促进者. 调查结果将为如何通过远程医疗和员工教育最好地提供专业息护理提供信息.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- IMPART (利用远程医疗改善住院老年护理中的息护理) 的干预旨在加强老年护理设施中的息护理.
- 它通过远程医疗结合了通过远程医疗提供专业的息性支持,并为员工提供了定制的培训.
- 本研究详细介绍了IMPART的现实过程评估协议,该协议与澳大利亚实用阶段集群随机对照试验一起进行.
研究的目的:
- 确定和探索影响IMPART干预实施的上下文因素和机制.
- 开发和完善一个指导成功促进IMPART实施的程序理论.
主要方法:
- 一个三个阶段的现实主义框架指导了过程评估.
- 第一个阶段:通过文献和试验文档审查提出初始程序理论假设.
- 第二阶段:使用混合方法数据 (采访,参与数据,日志等) 进行10个老年护理机构的案例研究方法. ) 的情况.
- 第三阶段:通过与IMPART研究团队的商,完善程序理论.
主要成果:
- 随机对照试验于2023年5月开始,预计将于2025年11月结束.
- 用于过程评估的数据收集发生在2023年5月至2026年2月之间.
- 截至2025年10月,已完成61次采访,数据分析正在进行中.
结论:
- 一个现实的框架有助于深入了解老年护理中的复杂干预实施.
- 结果将阐明什么是有效的,为谁,如何,在什么情况下.
- 本次评估旨在产生可转移的,特定于背景的见解,以支持政策制定和息护理实践变革.
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