The University of North Carolina at Chapel Hill, Carrington Hall, Campus Box #7460, Chapel Hill, NC 27599-7460, United States.
Lutheran Services in America, 100 Maryland Ave. NE, Suite 500, Washington, DC 20002, United States.
Geriatr Nurs. 2021 Jul-Aug;42(4):863-868. doi: 10.1016/j.gerinurse.2021.04.010. Epub 2021 Jun 3.
Proctor's Framework for Implementation Research describes the role of implementation strategies and outcomes in the pathway from evidence-based interventions to service and client outcomes. This report describes the evaluation of a learning collaborative to implement a transitional care intervention in skilled nursing facilities (SNF). The collaborative protocol included implementation strategies to promote uptake of a transitional care intervention in SNFs. Using RE-AIM to evaluate outcomes, the main findings were intervention reach to 550 SNF patients, adoption in three of four SNFs that expressed interest in participation, and high fidelity to the implementation strategies. Fidelity to the transitional care intervention was moderate to high; SNF staff provided the five key components of the transitional care intervention for 64-93% of eligible patients. The evaluation was completed during the COVID-19 pandemic, which suggests the protocol was valued by staff and feasible to use amid serious internal and external challenges.
普罗克特实施研究框架描述了实施策略和结果在从基于证据的干预措施到服务和客户结果的途径中的作用。本报告描述了对学习合作的评估，该合作旨在熟练护理设施 (SNF) 中实施过渡性护理干预措施。合作协议包括实施策略，以促进 SNF 中过渡性护理干预措施的采用。使用 RE-AIM 评估结果，主要发现是干预措施覆盖了 550 名 SNF 患者，在四个表示有兴趣参与的 SNF 中有三个采用了该措施，并且对实施策略的保真度很高。对过渡性护理干预措施的保真度为中等到高度；SNF 工作人员为 64-93%的符合条件的患者提供了过渡性护理干预的五个关键组成部分。该评估是在 COVID-19 大流行期间完成的，这表明该协议受到了员工的重视，并且在严重的内部和外部挑战中使用是可行的。
