为痴呆症危机管理团队开发基于证据的最佳实践模型：一项定性研究方案
Development of an Evidence-Based Best Practice Model for Teams Managing Crisis in Dementia: Protocol for a Qualitative Study.
作者信息
Stanyon Miriam, Streater Amy, Coleston-Shields Donna Maria, Yates Jennifer, Challis David, Dening Tom, Hoe Juanita, Lloyd-Evans Brynmor, Mitchell Shirley, Moniz-Cook Esme, Poland Fiona, Prothero David, Orrell Martin
机构信息
Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, United Kingdom.
Research and Development, North East London Foundation Trust, London, United Kingdom.
出版信息
JMIR Res Protoc. 2021 Jan 27;10(1):e14781. doi: 10.2196/14781.
BACKGROUND
Teams working in the community to manage crisis in dementia currently exist, but with widely varying models of practice, it is difficult to determine the effectiveness of such teams.
OBJECTIVE
The aim of this study is to develop a "best practice model" for dementia services managing crisis, as well as a set of resources to help teams implement this model to measure and improve practice delivery. These will be the best practice tool and toolkit to be utilized by teams to improve the effectiveness of crisis teams working with older people with dementia and their caregivers. This paper describes the protocol for a prospective study using qualitative methods to establish an understanding of the current practice to develop a "best practice model."
METHODS
Participants (people with dementia, caregivers, staff members, and stakeholders) from a variety of geographical areas, with a broad experience of crisis and noncrisis work, will be purposively selected to participate in qualitative approaches including interviews, focus groups, a consensus workshop, and development and field testing of both the best practice tool and toolkit.
RESULTS
Data were collected between October 2016 and August 2018. Thematic analysis will be utilized to establish the current working of teams managing crisis in dementia in order to draw together elements of the best practice.
CONCLUSIONS
This is the first study to systematically explore the requirements needed to fulfill effective and appropriate home management for people with dementia and their caregivers at the time of mental health crisis, as delivered by teams managing crisis in dementia. This systematic approach to development will support greater acceptability and validity of the best practice tool and toolkit and lay the foundation for a large scale trial with teams managing crisis in dementia across England to investigate the effects on practice and impact on service provision, as well as the associated experiences of people with dementia and their caregivers.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/14781.
背景
目前社区中存在致力于管理痴呆症危机的团队，但由于实践模式差异很大，很难确定这些团队的有效性。
目的
本研究旨在为管理痴呆症危机的服务开发一种“最佳实践模式”，以及一套资源，以帮助各团队实施该模式，从而衡量和改进实践服务。这些将成为各团队用于提高与患有痴呆症的老年人及其护理人员合作的危机应对团队有效性的最佳实践工具和工具包。本文描述了一项前瞻性研究的方案，该研究采用定性方法来了解当前实践，以开发一种“最佳实践模式”。
方法
将有目的地从不同地理区域挑选参与者（患有痴呆症的人、护理人员、工作人员和利益相关者），他们在危机和非危机工作方面有广泛经验，参与定性研究方法，包括访谈、焦点小组、共识研讨会，以及最佳实践工具和工具包的开发与实地测试。
结果
数据收集于2016年10月至2018年8月之间。将采用主题分析法来确定当前管理痴呆症危机的团队的工作情况，以便总结出最佳实践的要素。
结论
这是第一项系统探索在心理健康危机期间为患有痴呆症的人和他们的护理人员提供有效且适当的居家管理所需条件的研究，由管理痴呆症危机的团队提供服务。这种系统的开发方法将支持最佳实践工具和工具包具有更高的可接受性和有效性，并为在英格兰各地管理痴呆症危机的团队进行大规模试验奠定基础，以调查对实践的影响、对服务提供的影响，以及患有痴呆症的人和他们的护理人员的相关经历。
国际注册报告识别码（IRRID）：RR1-10.2196/14781
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