La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Av. Vinet 30, Lausanne.
University Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
J Fam Nurs. 2022 Feb;28(1):6-16. doi: 10.1177/10748407211048217. Epub 2021 Oct 7.
Families of persons with acquired brain injuries need to be supported from the early phase of hospitalization. To date, no known early family intervention is available for this population. Using the Medical Research Council Framework, we developed a new intervention based on the Calgary Assessment and Intervention Models that includes the family preferences, clinician's expertise, and the contextual resources. This paper aims to describe the complete development process including a scoping review, an assessment of families and clinicians' needs, an evaluation of the contextual resources, and an adaptation of the theoretical framework. Using a systemic perspective, we tailored the new intervention to involve the stakeholder's preferences. The result is an early family intervention named SAFIR, led by a clinical nurse specialist, including five core components and structured around three phases and a follow-up. The next steps will be focused on assessment of the clinical feasibility of this new intervention.
脑损伤患者的家属需要在住院早期得到支持。迄今为止,针对这一人群尚无已知的早期家庭干预措施。我们利用医疗研究委员会的框架,根据卡尔加里评估和干预模型,开发了一种新的干预措施,其中包括家庭的偏好、临床医生的专业知识和环境资源。本文旨在描述完整的开发过程,包括范围综述、对家庭和临床医生需求的评估、对环境资源的评估以及理论框架的调整。我们采用系统的观点,根据利益相关者的偏好来调整新的干预措施。结果是开发出了一种名为 SAFIR 的早期家庭干预措施,由临床护士专家主导,包括五个核心组成部分,围绕三个阶段和一个随访期展开。下一步将集中评估这种新干预措施的临床可行性。