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评估加拿大长期护理院创新实施的促进因素和障碍:一项研究方案。

Assessing facilitating conditions and barriers for innovation implementation in Canadian long-term care homes: a research protocol.

作者信息

Hardy Marie-Soleil, Sasseville Maxime, Attieh Randa, Bergeron-Drolet Laurie-Ann, Sanchez Romina Helena Barony, Gallani Maria Cecilia, Côté André, Laberge Maude, Voyer Philippe, Couture Vincent, Gagnon Marie-Pierre

机构信息

Faculty of Nursing, Université Laval, Pavillon Ferdinand-Vandry, 1050, avenue de la Médecine, Quebec, QC, G1V 0A6, Canada.

Public Health Department, Université de Montréal, 7101 Park Avenue, Montreal, QC, H3N 1X9, Canada.

出版信息

Implement Sci Commun. 2022 Jun 11;3(1):61. doi: 10.1186/s43058-022-00312-3.

DOI:10.1186/s43058-022-00312-3
PMID:35690855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9187889/
Abstract

BACKGROUND

The COVID-19 pandemic has profoundly affected the health and care of older adults, with particularly negative consequences for those residing in long-term care homes (LTCH) and retirement homes (RH). To inform the implementation of interventions with the most potential for impact, Healthcare Excellence Canada identified six promising practices and policy options that can be introduced to ensure that LTCH and RH are better prepared for potential future outbreaks. A total of 22 implementation science teams (ISTs) were funded to support LTCH and RH across Canada in their implementation of these practices. This study aims to identify the enablers and barriers to the successful implementation of evidence-based practices and the impact of intervention in LTCH and RH across Canada.

METHODS

A survey-based longitudinal correlational design will be used. The Organizational Readiness for Knowledge Translation (OR4KT) tool will be used to assess the readiness of LTCH and RH to implement the selected practice. The OR4KT includes 59 questions and takes about 15 min to complete. Five to ten respondents per organization, holding different job positions, will be invited by the ISTs to complete the OR4KT in 91 LTCH or RH across Canada at the beginning of the project (T1) and 6 months after the first measurement (T2).

DISCUSSION

The study will provide a benchmark for assessing the readiness of LTCH and RH to implement evidence-based practices. It will also inform decision-makers about barriers and facilitators that influence the integration of promising practices in these organizations.

摘要

背景

2019冠状病毒病大流行对老年人的健康和护理产生了深远影响,对那些居住在长期护理院(LTCH)和养老院(RH)的人造成了特别负面的后果。为了为实施最具潜在影响力的干预措施提供信息,加拿大卓越医疗保健组织确定了六种有前景的做法和政策选项,可加以采用以确保长期护理院和养老院为未来可能的疫情爆发做好更充分准备。共有22个实施科学团队(IST)获得资助,以支持加拿大各地的长期护理院和养老院实施这些做法。本研究旨在确定在加拿大各地长期护理院和养老院成功实施循证做法的促进因素和障碍,以及干预措施的影响。

方法

将采用基于调查的纵向相关设计。知识转化组织准备情况(OR4KT)工具将用于评估长期护理院和养老院实施所选做法的准备情况。OR4KT包括59个问题,大约需要15分钟完成。在项目开始时(T1)以及首次测量后6个月(T2),实施科学团队将邀请加拿大91家长期护理院或养老院中担任不同职位的每个组织的5至10名受访者完成OR4KT。

讨论

该研究将为评估长期护理院和养老院实施循证做法的准备情况提供一个基准。它还将让决策者了解影响这些组织采用有前景做法的障碍和促进因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd0c/9188173/dfa0ed81857b/43058_2022_312_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd0c/9188173/dfa0ed81857b/43058_2022_312_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd0c/9188173/dfa0ed81857b/43058_2022_312_Fig1_HTML.jpg

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Int J Health Policy Manag. 2018 Sep 1;7(9):791-797. doi: 10.15171/ijhpm.2018.17.
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Implement Sci. 2017 Nov 10;12(1):128. doi: 10.1186/s13012-017-0664-y.
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