运用改良的名词组技术来获取护理主任对骨质疏松症干预措施的意见。
Using a modified nominal group technique to elicit director of nursing input for an osteoporosis intervention.
作者信息
Levine Deborah A, Saag Kenneth G, Casebeer Linda L, Colon-Emeric Cathleen, Lyles Kenneth W, Shewchuk Richard M
机构信息
Deep South Center on Effectiveness Research, An HSR&D REAP, Birmingham VA Medical Center, Birmingham, AL, USA.
出版信息
J Am Med Dir Assoc. 2006 Sep;7(7):420-5. doi: 10.1016/j.jamda.2006.05.004. Epub 2006 Jul 17.
BACKGROUND
Barriers prevent osteoporosis care in nursing homes. Successful interventions designed to circumvent these barriers benefit from target recipient input during development.
OBJECTIVE
To elicit suggestions for an osteoporosis quality improvement intervention designed for use by nursing home health care professionals.
DESIGN
Modified nominal group technique.
SETTING
Convenience sample of Alabama nursing home directors.
PARTICIPANTS
Fifteen Alabama nursing home directors of nursing were recruited by mailing. Sixty percent of respondents participated (n = 9).
MEASUREMENTS
In the first phase conducted via teleconference, an experienced moderator used a preformulated question and elicited 41 suggestions to improve osteoporosis care in nursing homes. Substantively similar suggestions were combined and idiosyncratic suggestions were discarded resulting in the retention of 20 suggestions. In the second phase conducted by mail, the same participants rated the 20 suggestions based on perceived practicality and helpfulness. Elements were grouped into tertiles based on the ranking of the mean ratings of the 2 attributes and then cross-tabulated.
RESULTS
All director of nursing (n = 9) participants completed both phases. The most practical, most helpful suggestions were information on fall prevention program implementation, osteoporosis treatment protocols, and osteoporosis medication information.
CONCLUSIONS
A modified nominal group technique provided useful information from nursing home directors of nursing for an osteoporosis intervention. The technique proved efficient and facile to perform.
背景
养老院存在阻碍骨质疏松症护理的因素。旨在克服这些障碍的成功干预措施在制定过程中受益于目标受众的意见。
目的
征集针对养老院医护人员使用的骨质疏松症质量改进干预措施的建议。
设计
改良的名义群体技术。
地点
阿拉巴马州养老院院长的便利样本。
参与者
通过邮寄方式招募了15位阿拉巴马州养老院的护理院长。60%的受访者参与（n = 9）。
测量方法
在通过电话会议进行的第一阶段，一位经验丰富的主持人使用预先制定的问题，征集了41条改善养老院骨质疏松症护理的建议。将实质相似的建议合并，剔除特殊建议，最终保留了20条建议。在通过邮件进行的第二阶段，相同的参与者根据感知到的实用性和帮助程度对这20条建议进行评分。根据这两个属性的平均评分排名将要素分为三等份，然后进行交叉制表。
结果
所有护理院长（n = 9）参与者都完成了两个阶段。最实用、最有帮助的建议是关于跌倒预防计划实施、骨质疏松症治疗方案和骨质疏松症药物信息。
结论
改良的名义群体技术为养老院护理院长提供了有关骨质疏松症干预措施的有用信息。该技术证明执行起来高效且简便。
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