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深入了解研究结果在住宅长期护理机构中的影响和应用:案例研究。

Insights into the impact and use of research results in a residential long-term care facility: a case study.

机构信息

Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, 11405 87 Avenue, Edmonton, AB, Canada.

出版信息

Implement Sci. 2012 Sep 13;7:90. doi: 10.1186/1748-5908-7-90.

DOI:10.1186/1748-5908-7-90
PMID:22974501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3493333/
Abstract

BACKGROUND

Engaging end-users of research in the process of disseminating findings may increase the relevance of findings and their impact for users. We report findings from a case study that explored how involvement with the Translating Research in Elder Care (TREC) study influenced management and staff at one of 36 TREC facilities. We conducted the study at 'Restwood' (pseudonym) nursing home because the Director of Care engaged actively in the study and TREC data showed that this site differed on some areas from other nursing homes in the province. The aims of the case study were two-fold: to gain a better understanding of how frontline staff engage with the research process, and to gain a better understanding of how to share more detailed research results with management.

METHODS

We developed an Expanded Feedback Report for use during this study. In it, we presented survey results that compared Restwood to the best performing site on all variables and participating sites in the province. Data were collected regarding the Expanded Feedback Report through interviews with management. Data from staff were collected through interviews and observation. We used content analysis to derive themes to describe key aspects related to the study aims.

RESULTS

We observed the importance of understanding organizational routines and the impact of key events in the facility's environment. We gleaned additional information that validated findings from prior feedback mechanisms within TREC. Another predominant theme was the sense that the opportunity to engage in a research process was reaffirming for staff (particularly healthcare aides)-what they did and said mattered, and TREC provided a means of having one's voice heard. We gained valuable insight from the Director of Care about how to structure and format more detailed findings to assist with interpretation and use of results.

CONCLUSIONS

Four themes emerged regarding staff engagement with the research process: sharing feedback reports from the TREC study; the meaning of TREC to staff; understanding organizational context; and using the study feedback for improvement at Restwood. This study has lessons for researchers on how to share research results with study participants, including management.

摘要

背景

让研究的最终用户参与到研究结果的传播过程中,可以提高研究结果对用户的相关性和影响力。我们报告了一项案例研究的结果,该研究探讨了参与转化老年护理研究(TREC)研究如何影响 TREC 研究中的 36 个设施之一的管理层和工作人员。我们选择了“Restwood”(化名)养老院进行这项研究,因为护理主任积极参与了该研究,并且 TREC 数据显示,该养老院在某些方面与该省的其他养老院有所不同。该案例研究的目的有两个:更好地了解一线员工如何参与研究过程,以及更好地了解如何与管理层分享更详细的研究结果。

方法

我们为这项研究开发了一份扩展反馈报告。在报告中,我们展示了将 Restwood 与所有变量上表现最好的站点以及参与该省研究的站点进行比较的调查结果。通过对管理层的访谈收集有关扩展反馈报告的数据。通过访谈和观察收集员工的数据。我们使用内容分析从描述与研究目标相关的关键方面的主题中得出结论。

结果

我们观察到了解组织常规和设施环境中关键事件的影响的重要性。我们从 TREC 中之前的反馈机制中获得了验证研究结果的额外信息。另一个主要主题是,参与研究过程的机会对员工(特别是医疗保健助理)具有肯定作用——他们所做的和所说的都很重要,而 TREC 提供了一种让他们的声音被听到的方式。我们从护理主任那里获得了宝贵的见解,了解如何构建和格式化更详细的研究结果,以帮助解释和使用研究结果。

结论

研究结果显示,员工参与研究过程的主题有四个:分享 TREC 研究的反馈报告;TREC 对员工的意义;理解组织背景;以及在 Restwood 使用研究反馈进行改进。这项研究为研究人员提供了一些关于如何与研究参与者(包括管理层)分享研究结果的经验教训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e3/3493333/84a8f5c8bb06/1748-5908-7-90-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e3/3493333/bcce90e8cfb5/1748-5908-7-90-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e3/3493333/84a8f5c8bb06/1748-5908-7-90-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e3/3493333/bcce90e8cfb5/1748-5908-7-90-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e3/3493333/84a8f5c8bb06/1748-5908-7-90-2.jpg

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本文引用的文献

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The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature.PARIHS 框架在实施研究和实践中的应用——文献引文分析。
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