在重症监护室整合家庭支持干预:与卫生专业人员进行混合方法总结评估
Saskia Oesch1, Lotte Verweij1, Marco Riguzzi1
1Institute for Implementation Science in Health Care, Faculty of Medicine, University of Zurich, Switzerland; Centre for Clinical Nursing Science, University Hospital Zurich, Switzerland.
在重症监护病房,护士主导的家庭支持干预是完善的,有益的. 由可行性驱动的高干预正常化,增强了整合和可持续性,改善了家庭和团队的结果.
科学领域:
- 护理 护理 护理
- 关键的护理关键的护理
- 实施科学 实施科学
背景情况:
- 面向家庭的护士干预对于提高关键环境中的护理质量至关重要.
- 在动态重症监护病房 (ICU) 中,整合的挑战仍然存在.
- 本研究评估了FICUS®试验中的护士主导的家庭支持干预.
研究的目的:
- 从卫生专业人员的角度评估护士领导的家庭支持干预措施的整合性.
- 了解实施结果与干预整合和临床益处之间的关联.
主要方法:
- 在8个瑞士ICU中,以规范化过程理论为指导的多中心混合方法研究.
- 在线调查 (n=228) 和专注组采访 (n=64) 与卫生专业人员.
- 回归模型分析了实施结果,整合和效益之间的关联.
主要成果:
- 高干预正常化与可接受性,适当性,可行性和感知的益处有关 (p < 0.05).
- 可行性预测的整合 (规范化,可持续性;p < 0.001).
- 可接受性和适当性预测对团队和家庭的好处 (p < 0.05).
结论:
- 由护士领导的家庭支持干预被卫生专业人员认为是可以接受的,适当的,可行的和有益的.
- 促进者包括明确的角色,结构化的工作流程和团队参与.
- 为了实现全系统整合,需要进一步的研究.
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