使用实施科学方法来增强预先护理规划实践:一个社区案例研究.
Penny Lun1, Chou Chuen Yu1, Nongluck Pussayapibul1
1Geriatric Education and Research Institute, Singapore, Singapore.
Frontiers in health services
|December 22, 2025
概括
为提前护理规划 (ACP) 制定国家质量实践指南,涉及让利益相关者参与解决实施障碍. 该代过程使用了"知识转化为行动"的模式,旨在提高非洲和非洲的采用率和完成率.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
- 公共卫生政策 公共卫生政策
背景情况:
- 预先护理计划 (ACP) 对于终身决策至关重要,但接受率和完成率仍然很低.
- 在新加坡进行的全国性研究显示,在各种实践环境中,在ACP实施方面存在重大差距和障碍.
研究的目的:
- 描述利益相关者参与和指导方针制定过程,以制定国家质量实践指导方针,以促进非洲和非洲的实施.
- 概述一种新的方法来制定国家指导方针,使用多层次伙伴关系和知识转化为行动模式.
主要方法:
- 召开了一个知识交流平台,与多层次伙伴关系组成了一个工作组.
- 在整个知识转化为行动 (KTA) 周期中,参与关键知识用户 (ACP实施者),包括电子调查以优先考虑障碍.
- 关联优先级的障碍 (映射到理论领域框架) 与干预功能和实施策略,并将其语境化为本地应用.
- 与ACP团队试点实施战略,以促进优质的ACP实施.
主要成果:
- 通过一种代的多层次伙伴关系方法,制定了针对非洲和非洲的实施质量实践指南.
- 该过程成功地翻译了证据,并解决了对ACP的发现障碍.
- 试点研究提供了关于促进优质ACP实施的见解.
结论:
- 知识转化为行动 (KTA) 模式促进了对ACP国家质量实践指南的代开发.
- 这种多层次伙伴关系方法为制定指导方针提供了一个新的框架,为类似的倡议提供可转移的经验教训.
- 开发的指导方针和过程旨在提高非洲和非洲国家/地区的终身护理的普及率和质量.
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