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家庭与社区护理核心结局集的制定:德尔菲研究方案

Development of a Core Outcome Set for Family and Community Nursing: Protocol for a Delphi Study.

作者信息

Russo Sara, Caruso Rosario, Conte Gianluca, Magon Arianna, Vangone Ida, Bascape' Barbara, Maga Giulia, Pasek Malgorzata, Arrigoni Cristina

机构信息

Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Health Professions Researchand Development Unit, Istituto di Ricerca e cura a carattere scientifico Policlinico San Donato, San Donato Milanese, Italy.

出版信息

JMIR Res Protoc. 2024 Mar 29;13:e51084. doi: 10.2196/51084.

Abstract

BACKGROUND

Family and community nurses (FCNs) play a crucial role in delivering primary care to patients within their homes and communities. A key aspect of their role involves various health interventions, which are influenced by their unique competencies, such as health promotion, advanced clinical knowledge, and strong interpersonal skills. However, it is essential to understand which specific health outcomes these interventions impact to better understand the relationship between FCNs' skills and the health results.

OBJECTIVE

This study aims to outline the steps we will take to develop a set of core outcomes. These outcomes will be particularly sensitive to the health interventions carried out by FCNs, providing a clearer picture of their practice's impact.

METHODS

A Delphi survey will be used for this research, conducted from January to December 2024. The process will involve 5 steps and input from 3 stakeholder categories. These stakeholders will help identify a preliminary list of outcomes that will form the basis of our core outcome set (COS).

RESULTS

This guideline will be beneficial for a wide range of stakeholders involved in COS development, including COS developers, trialists, systematic reviewers, journal editors, policy makers, and patient groups. As of January 2024, we have successfully completed the first stage of the study, with the stakeholder group approving the reported outcomes and assigning participant lists for each stakeholder group.

CONCLUSIONS

This study will provide a roadmap for identifying the key health outcomes influenced by the interventions of FCNs. The multistakeholder, multiphase approach will ensure a comprehensive and inclusive process. Ultimately, the findings will enhance our understanding of FCNs' impact on health outcomes, leading to more effective primary care strategies and policies.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/51084.

摘要

背景

家庭与社区护士在为患者提供家庭和社区初级护理方面发挥着关键作用。其角色的一个关键方面涉及各种健康干预措施,这些措施受到他们独特能力的影响,如健康促进、先进的临床知识和强大的人际沟通技巧。然而,了解这些干预措施具体影响哪些健康结果对于更好地理解家庭与社区护士的技能与健康结果之间的关系至关重要。

目的

本研究旨在概述我们制定一套核心结果的步骤。这些结果将对家庭与社区护士实施的健康干预措施特别敏感,从而更清晰地展现其实践的影响。

方法

本研究将采用德尔菲调查法,于2024年1月至12月进行。该过程将包括5个步骤,并纳入3类利益相关者的意见。这些利益相关者将帮助确定初步的结果清单,该清单将构成我们核心结果集(COS)的基础。

结果

本指南将对参与核心结果集开发的广泛利益相关者有益,包括核心结果集开发者、试验者、系统评价者、期刊编辑、政策制定者和患者群体。截至2024年1月,我们已成功完成研究的第一阶段,利益相关者群体批准了报告的结果,并为每个利益相关者群体分配了参与者名单。

结论

本研究将为确定受家庭与社区护士干预影响的关键健康结果提供路线图。多利益相关者、多阶段的方法将确保过程全面且具有包容性。最终,研究结果将增进我们对家庭与社区护士对健康结果影响的理解,从而形成更有效的初级护理策略和政策。

国际注册报告识别号(IRRID):PRR1-10.2196/51084

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