Harnessing Innovative Technologies to Train Nurses in Suicide Safety Planning With Hospitalized Patients: Protocol for Formative and Pilot Feasibility Research.
Harnessing Innovative Technologies to Train Nurses in Suicide Safety Planning With Hospitalized Patients: Protocol for Formative and Pilot Feasibility Research.
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利用创新技术培训住院患者自杀安全计划的护士：形成性和试点可行性研究协议。
DOI：
10.2196/33695
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发表时间：
2021-12-15
影响因子：
1.7
通讯作者：
Comtois KA
中科院分区：
文献类型：
--
作者：
Darnell D;Areán PA;Dorsey S;Atkins DC;Tanana MJ;Hirsch T;Mooney SD;Boudreaux ED;Comtois KA
自杀是美国第十大死亡原因，2019年死亡人数超过47，000人。大多数死于自杀的人在死前一年都与医疗保健系统有过接触。卫生保健提供者培训是国家预防自杀行动联盟确定的首要研究重点;然而，以技能建设为目标的循证方法是资源密集型的，难以实施。人工智能技术的进步有望提高培训方法的可扩展性和可持续性，因为现在计算机可以评估受训者的干预提供技能，并提供反馈以指导技能改进。关于如何最好地将这些新技术整合到医疗保健提供者的继续教育中，还有很多事情有待了解。在Project WISE（工作场所综合支持和教育）中，我们的目标是开发自杀安全计划的电子学习培训，并通过新的技能建设技术进行增强，这些技术可以整合到护士为因医疗或手术原因或创伤住院的患者提供服务的日常工作流程中。研究目的包括确定策略的实施和工作流程整合的培训和安全规划与病人，适应2现有的技术，以提高一般咨询技能，用于自杀安全规划（对话代理和基于人工智能的反馈系统），观察培训的可接受性和护士对培训组成部分的参与，并评估招聘的可行性，保留，并收集被确定为有自杀风险的患者的纵向自我报告和电子健康记录数据。我们的发展研究包括定性和观察的方法来探索实施环境和技术的可用性，形成性评估的培训模式，并进行试点研究，以评估未来的集群随机实用试验的可行性。该试验将检查因医疗或手术原因或创伤性损伤住院的有自杀风险的患者，当被接纳到一个有受过技能建设技术培训的护士的单位时，是否比那些被接纳到一个没有受过培训的护士的单位时，自杀相关的出院后结局更好。这项研究是在一级创伤中心进行的，该中心也是一家安全网医院和学术医疗中心。WISE项目于2019年7月获得资助。截至2021年9月，我们已与27名急症护理及3名急症及深切治疗护士完成焦点小组及可用性测试。我们于2021年11月开始收集研究目标3及4的数据。所有研究都得到了华盛顿大学机构审查委员会的批准。WISE项目旨在通过使用新型电子学习技术对住院患者进行自杀预防方面的护士进行培训，进一步推动国家议程，以改善医疗保健环境中的自杀预防。DERR1-10.2196/33695
Suicide is the 10th leading cause of death in the United States, with >47,000 deaths in 2019. Most people who died by suicide had contact with the health care system in the year before their death. Health care provider training is a top research priority identified by the National Action Alliance for Suicide Prevention; however, evidence-based approaches that target skill-building are resource intensive and difficult to implement. Advances in artificial intelligence technology hold promise for improving the scalability and sustainability of training methods, as it is now possible for computers to assess the intervention delivery skills of trainees and provide feedback to guide skill improvements. Much remains to be known about how best to integrate these novel technologies into continuing education for health care providers. In Project WISE (Workplace Integrated Support and Education), we aim to develop e-learning training in suicide safety planning, enhanced with novel skill-building technologies that can be integrated into the routine workflow of nurses serving patients hospitalized for medical or surgical reasons or traumatic injury. The research aims include identifying strategies for the implementation and workflow integration of both the training and safety planning with patients, adapting 2 existing technologies to enhance general counseling skills for use in suicide safety planning (a conversational agent and an artificial intelligence–based feedback system), observing training acceptability and nurse engagement with the training components, and assessing the feasibility of recruitment, retention, and collection of longitudinal self-report and electronic health record data for patients identified as at risk of suicide. Our developmental research includes qualitative and observational methods to explore the implementation context and technology usability, formative evaluation of the training paradigm, and pilot research to assess the feasibility of conducting a future cluster randomized pragmatic trial. The trial will examine whether patients hospitalized for medical or surgical reasons or traumatic injury who are at risk of suicide have better suicide-related postdischarge outcomes when admitted to a unit with nurses trained using the skill-building technology than those admitted to a unit with untrained nurses. The research takes place at a level 1 trauma center, which is also a safety-net hospital and academic medical center. Project WISE was funded in July 2019. As of September 2021, we have completed focus groups and usability testing with 27 acute care and 3 acute and intensive care nurses. We began data collection for research aims 3 and 4 in November 2021. All research has been approved by the University of Washington institutional review board. Project WISE aims to further the national agenda to improve suicide prevention in health care settings by training nurses in suicide prevention with medically hospitalized patients using novel e-learning technologies. DERR1-10.2196/33695
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DOI：
10.1186/s13012-017-0605-9
发表时间：
2017-06-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Atkins L;Francis J;Islam R;O'Connor D;Patey A;Ivers N;Foy R;Duncan EM;Colquhoun H;Grimshaw JM;Lawton R;Michie S
通讯作者：
Michie S
影响因子：
5.7
作者：
Ahmedani, Brian K.;Simon, Gregory E.;Solberg, Leif I.
通讯作者：
Solberg, Leif I.
影响因子：
2
作者：
Darnell, Doyanne;Parker, Lea;Dunn, Christopher
通讯作者：
Dunn, Christopher
影响因子：
6.6
作者：
Bryan, Craig J.;Mintz, Jim;Rudd, M. David
通讯作者：
Rudd, M. David
影响因子：
5.5
作者：
Boudreaux, Edwin D.;Camargo, Carlos A., Jr.;Miller, Ivan W.
通讯作者：
Miller, Ivan W.