Calleja Luke, Glass Beverley, Taylor Selina, Neville Kisha, Brown Leanne, Miller Andrea, Cairns Alice
College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
Townsville Hospital and Health Service, Townsville, Queensland, Australia.
Aust J Rural Health. 2025 Feb;33(1):e13223. doi: 10.1111/ajr.13223.
This study aimed to explore the perspectives of healthcare professionals on the utility of sick day management plans for people with chronic kidney disease (CKD) in remote communities and collaboratively design a sick day management plan resource.
This qualitative study utilised two phases of data collection: preliminary observational data and semi-structured interviews. The research design and analysis were guided by the normalisation process theory (NPT) framework, tailored for complex interventions in healthcare.
Three First Nations communities and one remote mining community in Cape York, Australia.
In-person semi-structured interviews were conducted with 23 primary healthcare workers; 40% identified as Aboriginal and/or Torres Strait Islander.
The study identified three themes relating to feasibility of implementation: (1) resource coherence and readability, (2) suitability for integration into the care model and (3) safety and risk associated with sick day management plans. Iterative development of resources followed, incorporating feedback from the participants. Recommendations emerged for enhanced readability and coherence, including further co-design with individual communities and consumers, content simplification, incorporation of Aboriginal and/or Torres Strait Islander artwork and language and a flow chart structure.
The study underscores the importance of culturally sensitive resource design and the active involvement of Aboriginal and/or Torres Strait Islander communities in healthcare improvement. Future research should explore cost-effective methods for personalised sick day management plans.
本研究旨在探讨医疗保健专业人员对偏远社区慢性肾脏病（CKD）患者病假管理计划效用的看法，并共同设计一份病假管理计划资源。
这项定性研究采用了两个阶段的数据收集：初步观察数据和半结构化访谈。研究设计和分析以标准化过程理论（NPT）框架为指导，该框架专为医疗保健中的复杂干预措施量身定制。
澳大利亚约克角的三个原住民社区和一个偏远矿业社区。
对23名基层医疗工作者进行了面对面的半结构化访谈；40%的人被认定为原住民和/或托雷斯海峡岛民。
该研究确定了与实施可行性相关的三个主题：（1）资源连贯性和可读性，（2）适合纳入护理模式，以及（3）与病假管理计划相关的安全性和风险。随后根据参与者的反馈对资源进行了迭代开发。出现了一些提高可读性和连贯性的建议，包括与各个社区和消费者进一步共同设计、简化内容、纳入原住民和/或托雷斯海峡岛民的艺术作品和语言以及流程图结构。
该研究强调了文化敏感型资源设计以及原住民和/或托雷斯海峡岛民社区积极参与改善医疗保健的重要性。未来的研究应探索制定个性化病假管理计划的经济有效方法。
