Kaasalainen Sharon, Williams Jaime, Hadjistavropoulos Thomas, Thorpe Lilian, Whiting Susan, Neville Susan, Tremeer Juanita
Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Qual Health Res. 2010 Dec;20(12):1689-704. doi: 10.1177/1049732310377456. Epub 2010 Aug 3.
Improving the quality of life for long-term care (LTC) residents is of vital importance. Researchers need to involve LTC staff in planning and implementing interventions to maximize the likelihood of success. The purposes of this study were to (a) identify barriers and facilitators of LTC homes' readiness to implement evidence-based interventions, and (b) develop strategies to facilitate their implementation. A mixed methods design was used, primarily driven by the qualitative method and supplemented by two smaller, embedded quantitative components. Data were collected from health care providers and administrators using 13 focus groups, 26 interviews, and two surveys. Findings revealed that participants appreciated being involved at early stages of the project, but receptiveness to implementing innovations was influenced by study characteristics and demands within their respective practice environment. Engaging staff at the planning stage facilitated effective communication and helped strategize implementation within the constraints of the system.
提高长期护理（LTC）机构居民的生活质量至关重要。研究人员需要让长期护理机构的工作人员参与到干预措施的规划和实施中，以最大程度地提高成功的可能性。本研究的目的是：（a）确定长期护理机构准备实施循证干预措施的障碍和促进因素；（b）制定促进这些措施实施的策略。采用了混合方法设计，主要以定性方法为主，并辅以两个规模较小的嵌入式定量部分。通过13个焦点小组、26次访谈和两项调查，从医疗保健提供者和管理人员那里收集了数据。研究结果表明，参与者对在项目早期阶段参与其中表示赞赏，但对实施创新措施的接受程度受到其各自实践环境中的研究特点和要求的影响。在规划阶段让工作人员参与进来有助于进行有效的沟通，并有助于在系统的限制范围内制定实施策略。
