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能否建立并运营一个基于网络的实践社区来引领住宿照护机构中的跌倒预防活动?

Can a web-based community of practice be established and operated to lead falls prevention activity in residential care?

作者信息

Francis-Coad Jacqueline, Etherton-Beer Christopher, Bulsara Caroline, Nobre Debbie, Hill Anne-Marie

机构信息

School of Physiotherapy, The University of Notre Dame Australia, PO Box 1225, Fremantle, WA, 6959, Australia.

School of Medicine and Pharmacology, The University of Western Australia, Crawley, WA, 6009, Australia.

出版信息

Geriatr Nurs. 2017 Mar-Apr;38(2):133-140. doi: 10.1016/j.gerinurse.2016.09.001. Epub 2016 Oct 18.

Abstract

The aims of this study were to evaluate establishing and operating a web-based community of practice (CoP) to lead falls prevention in a residential aged care (RAC) setting. A mixed methods evaluation was conducted in two phases using a survey and transcripts from interactive electronic sources. Nurses and allied health staff (n = 20) with an interest in falls prevention representing 13 sites of an RAC organization participated. In Phase 1, the CoP was developed, and the establishment of its structure and composition was evaluated using determinants of success reported in the literature. In Phase 2, all participants interacted using the web, but frequency of engagement by any participant was low. Participatory barriers, including competing demands from other tasks and low levels of knowledge about information communication technology (ICT) applications, were identified by CoP members. A web-based CoP can be established and operated across multiple RAC sites if RAC management support dedicated time for web-based participation and staff are given web-based training.

摘要

本研究的目的是评估在住宅老年护理(RAC)环境中建立和运营一个基于网络的实践社区(CoP)以预防跌倒。采用混合方法分两个阶段进行评估,使用了一项调查以及来自交互式电子资源的文字记录。代表一个RAC组织13个场所的20名对预防跌倒感兴趣的护士和专职医护人员参与了研究。在第一阶段,开发了CoP,并使用文献中报道的成功决定因素对其结构和组成的建立进行了评估。在第二阶段,所有参与者通过网络进行互动,但任何参与者的参与频率都很低。CoP成员识别出了参与障碍,包括来自其他任务的相互竞争的需求以及对信息通信技术(ICT)应用的了解程度较低。如果RAC管理层支持为基于网络的参与留出专门时间,并为工作人员提供基于网络的培训,那么可以在多个RAC场所建立和运营基于网络的CoP。

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