基于证据的医院住院护理框架 (HIRAID® Inpatient) 的实施评估:一个阶梯集群RCT的协议
Kate Curtis1,2, Julie Considine3, Mary K Lam4
1Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Camperdown, NSW, Australia. Kate.curtis@sydney.edu.au.
Trials
|December 3, 2025
概括
这项研究适应并实施了HIRAID®住院治疗框架,以减少澳大利亚医院中可预防的不良事件. 新的框架旨在通过标准化的评估和决策来提高护理护理质量和患者安全.
科学领域:
- 护理实践的护理实践
- 患者的安全性 患者安全性
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 澳大利亚医院的可预防不良事件带来了重大风险,导致患者受伤,死亡和成本增加.
- 当前护理实践框架中的差距导致对临床恶化的认知和反应不足.
- 这项研究解决了通过适应和评估HIRAID®框架用于住院环境来提高患者安全的需求.
研究的目的:
- 为澳大利亚医院住院患者适应基于证据的HIRAID®护理框架.
- 实施和评估标准化的HIRAID®住院治疗框架,以提高住院治疗的质量和安全性.
- 优化护士在预防不良事件和改善患者体验方面的作用.
主要方法:
- 实时的Delphi技术和与前线工作人员和利益相关方的共同设计将适应HIRAID®框架 (第一阶段).
- 一个解释性的混合方法研究,以行为变化理论为基础,将开发实施策略 (第二阶段).
- 10家医院35个病房的1259名护士参与的一项阶段性集群随机控制试验将评估该框架的有效性 (第三阶段).
主要成果:
- 该研究将使用例行收集的数据,指导文件和干预前后调查来测试七个假设.
- 结果包括可预防的护士相关临床恶化率,医院获得的并发症,患者/护理人员的经验,以及文档/沟通质量.
- 将使用RE-AIM框架评估实施和忠诚度.
结论:
- "HIRAID®住院患者框架"旨在标准化护理评估,决策和预防不良事件的行动.
- 该倡议旨在优化护士对医院护理质量和安全的贡献.
- 预期的结果包括改善患者体验和加强临床沟通.
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