使用复杂干预来开发一个以家庭为中心的远程息护理模型的程序理论
Eithne Hayes Bauer1,2,3,4, Anders Nikolai Ørsted Schultz1,2,3, Anthony C Smith3,5
1Internal Medicine Research Unit, University Hospital of Southern Denmark, Aabenraa, Denmark.
开发一个以家庭为中心的远程缓解护理模式需要结构化的方法来维持虚拟护理. 提高临床医生的数字能力和通过面对面访问平衡技术对于有效和公平的患者支持至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程化护理提供了方便,但面临着可持续性挑战.
- 为了获得长期成功,需要结构化,文化一致的模型.
- 以家庭为中心的方法增强了传统的息护理服务.
研究的目的:
- 开发一个以家庭为中心的远程息护理模型的程序理论.
- 解决维持远程息护理干预的挑战.
- 在虚拟息护理中整合成人患者和家庭的需求.
主要方法:
- 利用英国医学研究委员会的框架进行复杂的干预.
- 通过利益相关者研讨会,观察和采访收集数据.
- 进行反射的主题和二次数据分析,以构建程序理论.
主要成果:
- 确定了三个关键主题:适应虚拟护理规范,平衡技术与面对面咨询,确保治理和公平.
- 探索了专业人士,患者和家庭如何适应没有结构化指导的虚拟互动.
- 研究了影响远程息护理实施,可持续性和公平获取的因素.
结论:
- 临床医生的数字能力直接影响到远程息护理中患者和家庭的好处.
- 提高临床医生的数字技能对于有效的虚拟息护理提供至关重要.
- 优先考虑初次面对面访问和管理技术的作用是关键考虑因素.
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