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[护理中复杂干预措施的开发与评估:以预防身体约束干预措施为例应用医学研究理事会的框架]

[Development and evaluation of complex interventions in nursing : Application of the medical research council's framework using the example of interventions to prevent physical restraints].

作者信息

Abraham Jens, Möhler Ralph

机构信息

Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.

Institut für Versorgungsforschung und Gesundheitsökonomie, Centre for Health and Society, Medizinische Fakultät und Universitätsklinik Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 May;66(5):523-529. doi: 10.1007/s00103-023-03689-1. Epub 2023 Apr 19.

Abstract

Many nursing interventions are complex. They comprise different intervention elements (components) and aim to change processes or behaviours of individuals or groups. A framework of the British Medical Research Council comprises methodological recommendations for the development and evaluation of complex interventions. This narrative review describes the framework's methodological recommendations using an example of interventions to reduce physical restraints in hospital and long-term care settings, such as bedrails or belts in chairs and beds. In addition to the characteristics of the complex interventions, the development and theoretical foundation of the interventions as well as the feasibility test and evaluation is described.

摘要

许多护理干预措施都很复杂。它们由不同的干预要素(组成部分)构成,旨在改变个人或群体的流程或行为。英国医学研究理事会的一个框架包含了针对复杂干预措施的开发和评估的方法学建议。这篇叙述性综述以减少医院和长期护理环境中身体约束措施(如病床和椅子上的床栏或约束带)的干预措施为例,描述了该框架的方法学建议。除了复杂干预措施的特点外,还描述了干预措施的开发、理论基础以及可行性测试和评估。

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