Lange Ferreira Christina, Donetto Sara, Habte-Asres Hellena, Govindan Jyothish, Forbes Angus, Winkley Kirsty
Care in Long Term Conditions, Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom.
Diabetes and Endocrinology, Hereford County Hospital, Wye Valley NHS Trust, Hereford, United Kingdom.
PLoS One. 2024 Dec 12;19(12):e0315387. doi: 10.1371/journal.pone.0315387. eCollection 2024.
To present a study protocol for the development of an intervention to enhance safe insulin use for older or frail adults undergoing a surgical admission to hospital.
Following the United Kingdom's Medical Research Council and National Institute for Health and Care Research Frameworks for development and evaluation of complex interventions; this qualitative study will use a co-design approach using design thinking, to develop a theoretical model for the intervention.
Non-participatory observations, interviews and co-design workshops will be conducted with older or frail individuals with diabetes, their caregivers and healthcare staff responsible for their care during surgical admissions at a single National Health Service hospital in England. We will utilise their experiences and perspectives to establish priorities and generate ideas for the development of a conceptual model aimed at supporting the insulin safety review process in hospitals. Data will be analysed using framework analysis. People with diabetes were involved in the design of this study. The protocol was approved by the East-Midlands-Derby Research Ethics Committee (24/EM/0022). Study registered on Open Science Framework: https://osf.io/4wvu5.
Results of this study will be shared with study participants and disseminated through presentations at conferences/meetings and peer-reviewed publications.
This article outlines the methodology for the planned study which will employ a novel methodology to tackle the problem of hospital insulin safety. Its findings will contribute to a better understanding of the multiple interacting components implicated in hospital insulin use (patient, staff, context) and support further work around system-based strategies to enhance insulin safety resilience in hospital.
提出一项研究方案，旨在开发一种干预措施，以提高老年或体弱成年人在住院接受手术期间安全使用胰岛素的水平。
遵循英国医学研究理事会和国家卫生与保健研究机构关于复杂干预措施开发与评估的框架；这项定性研究将采用协同设计方法，运用设计思维来开发干预措施的理论模型。
将在英格兰一家国民保健服务医院，对患有糖尿病的老年或体弱个体、他们的护理人员以及负责其手术住院期间护理的医护人员进行非参与性观察、访谈和协同设计研讨会。我们将利用他们的经验和观点来确定优先事项，并为开发一个旨在支持医院胰岛素安全审查流程的概念模型提出想法。数据将使用框架分析法进行分析。糖尿病患者参与了本研究的设计。该方案已获得东米德兰兹 - 德比研究伦理委员会批准（24/EM/0022）。研究已在开放科学框架上注册：https://osf.io/4wvu5。
本研究结果将与研究参与者分享，并通过在会议/研讨会上的报告以及同行评审出版物进行传播。
本文概述了计划开展的研究的方法，该研究将采用一种新颖的方法来解决医院胰岛素安全问题。其研究结果将有助于更好地理解医院胰岛素使用中涉及的多个相互作用的因素（患者、工作人员、环境），并支持围绕基于系统的策略开展进一步工作，以增强医院胰岛素安全恢复力。
