支持“茁壮成长”模式适应的实施前策略：针对经济弱势严重精神疾病患者的护理过渡模式
Pre-Implementation Strategies to Support Adaptation of Thrive: A Care Transitions Model for Economically Disadvantaged Patients with Serious Mental Illness.
作者信息
Brooks Carthon J Margo, Tibbitt Celsea, Amenyedor Kelvin Eyram, Bettencourt Amanda P, Babe Erin, Cacchione Pamela Z, Brom Heather
机构信息
Center for Health Outcomes & Policy Research, Leonard Davis Institute of Health Economics, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Yale School of Medicine, Yale University, 333 Cedar St., New Haven, CT 06510, USA.
出版信息
Nurs Rep. 2024 Dec 2;14(4):3803-3818. doi: 10.3390/nursrep14040278.
BACKGROUND
Economically disadvantaged patients diagnosed with serious mental illness (SMI) experience post-hospitalizations disparities due to fragmented care transitions.
PURPOSE
To describe the pre-implementation strategies used to adapt and implement a nurse-led transitional care intervention (Thrive) to meet the needs of economically disadvantaged patients diagnosed with an SMI.
METHODS
Two pre-implementation strategies, Evidence Based Quality Improvement (EBQI) meetings and Formative Evaluation (FE) research, were used to adapt intervention components. FE data included semi-structured interviews analyzed using Rapid Qualitative Analysis.
FINDINGS
Adaptations were made to core components of Thrive and strategies to support implementation were identified.
CONCLUSIONS
Participatory strategies help to adapt interventions that are person-centered and tailored to the organizational context.
TRIAL
NCT06203509.
背景
被诊断患有严重精神疾病（SMI）的经济弱势患者由于护理过渡碎片化而经历出院后差异。
目的
描述为适应和实施由护士主导的过渡性护理干预（Thrive）以满足被诊断患有SMI的经济弱势患者需求而采用的实施前策略。
方法
使用两种实施前策略，循证质量改进（EBQI）会议和形成性评估（FE）研究来调整干预组件。FE数据包括使用快速定性分析进行分析的半结构化访谈。
结果
对Thrive的核心组件进行了调整，并确定了支持实施的策略。
结论
参与式策略有助于调整以患者为中心并根据组织背景量身定制的干预措施。
试验
NCT06203509。
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