Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada
Research Center, Université de Montréal Hospital Center, Montreal, Quebec, Canada.
BMJ Open. 2021 Mar 16;11(3):e042875. doi: 10.1136/bmjopen-2020-042875.
Extension for Community Healthcare Outcomes (Project ECHO©) is an innovative model for continuing professional development that uses videoconferencing technology to support and train general practitioners remotely. The model has been replicated to a variety of settings and locations for capacity building in healthcare professionals caring for patients with chronic and complex health conditions. Limited research has been conducted so far on the impact of ECHO in the field of concurrent mental health and substance use disorders (ie, concurrent disorders (CDs)). Therefore, this mixed methods study aims to develop a comprehensive understanding of an ECHO programme impact for CD management on nurses' competency development and clinical practice.
The proposed mixed methods study, based on a convergent parallel design, will be conducted in the province of Quebec, Canada, to collect, analyse and interpret quantitative (QUAN) and qualitative (QUAL) data from a specific ECHO Program on CDs. In the QUAN component, an observational prospective cohort study will be conducted over a 12-month period. All nurses who participated in the programme between 2018 and 2020 and who consent to research will be recruited to collect data on the extent of their learning and practice outcomes at three time points. Alongside the surveys, nurses will be invited to participate in individual semistructured interviews. In-depth QUAL data will be subjected to a thematic analysis and will assist in exploring how and in which conditions nurses developed and mobilised their competencies in clinical practice. A comparison-of-results strategy will be used in the final integration component of the study.
This study protocol was approved by the Ethics Committee of the Université de Montréal Hospital Center (#19.295) and the Université de Montréal Ethics Committee (CERSES-20-017 R). We aim to disseminate the findings through international academic conferences, international peer-reviewed journals and professional media.
扩展社区医疗成果项目（ECHO©）是一种创新的继续专业发展模式，它使用视频会议技术远程支持和培训全科医生。该模式已在各种环境和地点复制，以增强医疗保健专业人员照顾患有慢性和复杂健康状况的患者的能力。迄今为止，对于 ECHO 在同时存在的心理健康和物质使用障碍领域的影响（即同时存在的障碍（CDs））的研究有限。因此，这项混合方法研究旨在全面了解 ECHO 计划对 CD 管理对护士能力发展和临床实践的影响。
这项基于汇聚平行设计的拟议混合方法研究将在加拿大魁北克省进行，从特定的 CDs ECHO 计划中收集、分析和解释定量（QUAN）和定性（QUAL）数据。在 QUAN 部分，将进行为期 12 个月的观察性前瞻性队列研究。所有在 2018 年至 2020 年期间参加该计划并同意参与研究的护士都将被招募，以在三个时间点收集他们学习和实践成果的程度数据。除了调查外，还将邀请护士参加个人半结构化访谈。深入的 QUAL 数据将进行主题分析，并将有助于探索护士如何以及在何种条件下在临床实践中发展和调动他们的能力。在研究的最终整合部分将使用结果比较策略。
本研究方案已获得蒙特利尔大学医院中心伦理委员会（#19.295）和蒙特利尔大学伦理委员会（CERSES-20-017 R）的批准。我们旨在通过国际学术会议、国际同行评议期刊和专业媒体传播研究结果。
