Mair Frances S, Hiscock Julia, Beaton Susan C
Division of Community Based Sciences, University of Glasgow, Glasgow, UK.
Chronic Illn. 2008 Jun;4(2):110-7. doi: 10.1177/1742395308092482.
To perform a process evaluation of a randomized controlled trial (RCT) of home telecare for the management of acute exacerbations of chronic obstructive pulmonary disease (COPD), using the normalization process model (NPM) as an explanatory framework.
Semi-structured interviews were carried out with patients (n = 9) and nurses (n = 11) participating in a RCT. A framework approach to data analysis was used.
The telecare service did not provide an interactional advantage for the nurses providing this service and did not fit with the nurses' views of the most appropriate or preferred use of their skills. The telecare service seemed unlikely to become normalized as part of routine healthcare delivery, because the nursing team lacked confidence that it was a safe way to provide healthcare in this context and it was not perceived as improving efficiency.
The NPM effectively mapped onto the study findings and explained those factors that inhibited the routine delivery of COPD services by telecare.
以规范化过程模型（NPM）作为解释框架，对一项关于居家远程护理管理慢性阻塞性肺疾病（COPD）急性加重期的随机对照试验（RCT）进行过程评估。
对参与随机对照试验的患者（n = 9）和护士（n = 11）进行半结构化访谈。采用框架分析法进行数据分析。
远程护理服务并未为提供该服务的护士带来互动优势，也不符合护士对其技能最适当或首选用途的看法。远程护理服务似乎不太可能作为常规医疗服务的一部分实现规范化，因为护理团队对其在此背景下作为提供医疗服务的安全方式缺乏信心，且未被视为提高了效率。
规范化过程模型有效地映射到研究结果上，并解释了那些阻碍通过远程护理常规提供慢性阻塞性肺疾病服务的因素。
