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基于计算机的饮食与营养培训促进以患者为中心的医院护理:一项群体概念映射研究。

Computer-Based Training in Eating and Nutrition Facilitates Person-Centered Hospital Care: A Group Concept Mapping Study.

作者信息

Westergren Albert, Edfors Ellinor, Norberg Erika, Stubbendorff Anna, Hedin Gita, Wetterstrand Martin, Rosas Scott R, Hagell Peter

机构信息

Author Affiliations: The PRO-CARE Group, School of Health and Society, Kristianstad University (Dr Westergren, Ms Edfors, Ms Hedin, and Dr Hagell), and Central Hospital Kristianstad (Ms Norberg); The County Council of Skåne, Lund (Mss Norberg and Stubbendorff); and Digital Design, School of Health and Society, Kristianstad University, Sweden (Dr Wetterstrand); and Concept Systems, Inc, Ithaca, NY (Dr Rosas).

出版信息

Comput Inform Nurs. 2018 Apr;36(4):199-207. doi: 10.1097/CIN.0000000000000416.

DOI:10.1097/CIN.0000000000000416
PMID:29334516
Abstract

Studies have shown that computer-based training in eating and nutrition for hospital nursing staff increased the likelihood that patients at risk of undernutrition would receive nutritional interventions. This article seeks to provide understanding from the perspective of nursing staff of conceptually important areas for computer-based nutritional training, and their relative importance to nutritional care, following completion of the training. Group concept mapping, an integrated qualitative and quantitative methodology, was used to conceptualize important factors relating to the training experiences through four focus groups (n = 43), statement sorting (n = 38), and importance rating (n = 32), followed by multidimensional scaling and cluster analysis. Sorting of 38 statements yielded four clusters. These clusters (number of statements) were as follows: personal competence and development (10), practice close care development (10), patient safety (9), and awareness about the nutrition care process (9). First and second clusters represented "the learning organization," and third and fourth represented "quality improvement." These findings provide a conceptual basis for understanding the importance of training in eating and nutrition, which contributes to a learning organization and quality improvement, and can be linked to and facilitates person-centered nutritional care and patient safety.

摘要

研究表明,针对医院护理人员开展的饮食与营养方面的计算机培训,增加了存在营养不足风险的患者接受营养干预的可能性。本文旨在从护理人员的角度,阐述基于计算机的营养培训在概念上的重要领域,以及培训结束后这些领域对营养护理的相对重要性。采用群体概念构图法(一种定性与定量相结合的方法),通过四个焦点小组(n = 43)、陈述排序(n = 38)和重要性评级(n = 32),对与培训经历相关的重要因素进行概念化,随后进行多维尺度分析和聚类分析。对38条陈述进行排序后得出四个类别。这些类别(陈述数量)如下:个人能力与发展(10条)、密切护理实践发展(10条)、患者安全(9条)以及对营养护理过程的认识(9条)。第一和第二个类别代表“学习型组织”,第三和第四个类别代表“质量改进”。这些研究结果为理解饮食与营养培训的重要性提供了概念基础,这种培训有助于建立学习型组织和提高质量,并且能够与以患者为中心的营养护理及患者安全相联系并促进其发展。

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