从研究到实践:在社区医院中,对倒自我效能工具的试点实施研究
Yan Fang Cheryl Tan1, Wei Na Lai1, Shawn Leng Hsien Soh2
1Singhealth Community Hospitals, Singapore, Singapore.
Frontiers in health services
|January 14, 2026
概括
多维落效率尺度 (MdFES) 被患者接受,用于评估落的信心. 然而,护士面临着语言障碍等挑战,需要调整工作流程才能成功实施.
科学领域:
- 老年学是指老年学的学科.
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 住院患者跌倒是功能衰退和不良结果的重要原因.
- 评估患者对移动和寻求帮助的信心至关重要,但对工作人员来说具有挑战性.
- 多维落效率尺度 (MdFES) 是为了评估患者对预防落,恢复和自我保护的信心而开发的.
研究的目的:
- 评估在社区医院环境中多维布效率量表 (MdFES) 的早期采用和可行性.
- 通过Proctor实施成果框架,检查患者和护士对MdFES的观点.
- 确定实施MdFES的障碍和促进者.
主要方法:
- 一项混合方法试点研究,涉及新加坡社区医院的90名患者和32名护士.
- 通过结构化问卷收集关于可接受性,适当性,可行性,成本和准确性的定量数据.
- 从开放式响应中获得的定性数据被主题分析,以确定实施障碍和促进者.
主要成果:
- 患者报告MdFES的高可接受性 (AIM=17.48±2.66) 和适当性 (IAM=17.54±2.75),感知负担较低 (3.12±2.23分钟完成时间).
- 护士报告说适度的可接受性,适当性和可行性,引用语言障碍,认知问题和工作流的限制.
- 忠诚度受到了重写和翻译的需要的影响;定性主题强调了翻译版本,简化语言和工作流集成的需要.
结论:
- 对于患者来说,MdFES是可以接受和有意义的,这表明其在住院患者环境中的潜在实用性.
- 确定了护士面临的可行性挑战,包括语言障碍和工作流集成问题,这些问题是可以修改的.
- 这些试点调查结果为调整工作流程和吸引利益相关者准备更大规模实施MdFES提供了关键的见解.
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