数字健康技术：影响养老院实施的因素

Digital health technology: factors affecting implementation in nursing homes.

作者信息

Curtis Katherine, Brooks Sheila

机构信息

Kingston University, Kingston-upon-Thames, England.

Bournemouth University, Poole, England.

出版信息

Nurs Older People. 2020 Mar 24;32(2):14-21. doi: 10.7748/nop.2020.e1236. Epub 2020 Mar 11.

DOI:10.7748/nop.2020.e1236

PMID:32159302

Abstract

BACKGROUND

Digital health technology (DHT), which includes digital algorithms and digital records, is transforming the way healthcare services are delivered. In nursing homes, DHT can enhance communication and improve the identification of residents' health risks, but its implementation has so far been inconsistent. Therefore, the LAUNCH (Leadership of digitAl health technology Uptake among Nurses in Care Homes) study was undertaken to identify factors that may affect DHT implementation in these settings.

AIM

To identify the factors that enable nurses to implement DHT in nursing homes and to co-design a nurse-led stepped process supporting the effective implementation of DHT innovations in nursing homes.

METHOD

An appreciative inquiry methodology was used. A total of 20 interviews with managers, residents and relatives, and nurses from five nursing homes in England were undertaken. The interview questions focused on their understanding of DHT, their experiences of it, and its potential benefits in nursing homes. Data from the interviews were thematically analysed and the emerging themes were used to inform two co-creation workshops, during which participating nurses discussed a practical, evidence-based process for DHT implementation in nursing homes.

FINDINGS

Three broad themes emerged from the interviews: improving communication; engaging with DHT and retaining humanised care; and introducing DHT and protecting data security. The co-creation workshop participants formulated the LAUNCH process model, a nurse-led, stepped approach supporting DHT implementation in nursing homes.

CONCLUSION

The LAUNCH study identified factors enabling staff in nursing homes to introduce and sustain DHT innovations. Participating nurses co-created a three-step process for the effective implementation of DHT innovations in nursing homes, which have the potential to release staff time, improve quality of care, and have positive effects on staff recruitment and retention.

摘要

背景

数字健康技术（DHT），包括数字算法和数字记录，正在改变医疗服务的提供方式。在养老院中，DHT可以加强沟通并改善对居民健康风险的识别，但到目前为止，其实施情况并不一致。因此，开展了“启动（养老院护士采用数字健康技术的领导力）”研究，以确定可能影响这些环境中DHT实施的因素。

目的

确定使护士能够在养老院实施DHT的因素，并共同设计一个由护士主导的分步流程，以支持在养老院有效实施DHT创新。

方法

采用了欣赏式探究方法。对来自英格兰五家养老院的管理人员、居民及其亲属以及护士进行了总共20次访谈。访谈问题集中在他们对DHT的理解、他们的相关经历以及其在养老院中的潜在益处。对访谈数据进行了主题分析，并将新出现的主题用于为两个共同创造研讨会提供信息，在研讨会上，参与的护士讨论了在养老院实施DHT的实用、基于证据的流程。