强有力的实施养老院的区别-制造商 预先护理规划 嵌入式实用性临床试验
Susan E Hickman1,2,3, Edward J Miech4, Timothy E Stump5
1School of Nursing, Indiana University, Indiana, USA.
Journal of the American Geriatrics Society
|January 30, 2026
概括
领导力稳定和同行参与是成功护理院干预的关键. 这些因素,以及特定的地点特征,推动了预先护理规划计划的强有力的实施.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 临床试验 临床试验
背景情况:
- 嵌入式实用临床试验 (ePCT) 是有效的开发和评估在养老院 (NHs) 的干预措施.
- 关于在NH环境中成功实施务实干预的关键因素 ("差异制造者") 的信息有限.
研究的目的:
- 确定影响预先护理规划 (ACP) 干预措施在NHs嵌入式实用试验中的强有力的实施的关键因素.
- 评估"调整患者偏好 - 为阿尔茨海默病患者,护理人员和医疗保健提供者提供教育和支持的作用" (APPROACHES) 干预措施的有效性.
主要方法:
- 利用巧合分析,一种基于案例的方法,使用布尔代数和集合理论来分析实现数据.
- 专注于44个参与实地考察和/或每月召集的干预国家公路,以确定实施驱动因素.
主要成果:
- 分析的41%的国民政府实现了强有力的实施 (>75%的居民有记录的非洲和非洲国家对话).
- 强有力的实施与: (1) 稳定的领导力 (没有执行董事营业额) 加上每月同行访问的参与,或 (2) 高基线住院率与少数认证床位.
- 领导力不稳定,高认证床位数和缺乏同行呼叫参与与较差的实施相关.
结论:
- 领导层的稳定性和同行参与对于成功实施APPROACHES ACP在全国性卫生机构的干预至关重要.
- 巧合分析对于理解ePCT中的实施条件非常有价值.
相关概念视频
Planning Nursing Care II
3.7K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.7K
Planning Nursing Care I
5.8K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.8K
Role of Communication in the Nursing Process II: Planning and Implementation
2.7K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
2.7K
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
2.1K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
2.1K
Nursing Implementation
6.2K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
6.2K
Clinical Trials
10.4K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.4K


