Clinical Decision Support for Fall Prevention: Defining End-User Needs.
Clinical Decision Support for Fall Prevention: Defining End-User Needs.
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跌倒预防的临床决策支持：定义最终用户需求。
DOI：
10.1055/s-0042-1750360
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发表时间：
2022
影响因子：
2.9
通讯作者：
Dykes,PatriciaC
中科院分区：
文献类型：
--
作者：
Rice,Hannah;Garabedian,PamelaM;Shear,Kristen;Bjarnadottir,RagnhildurI;Burns,Zoe;Latham,NancyK;Schentrup,Denise;Lucero,RobertJ;Dykes,PatriciaC
背景和意义社区老年人跌倒很常见，缺乏临床决策支持(CDS)为卫生保健提供者提供有效的、个性化的预防跌倒建议。目的本研究的目标是通过以人为中心的设计过程确定最终用户(初级保健人员和患者)的需求，以生成CDS以保护老年人免受跌倒和伤害。方法初级保健人员(初级保健提供者、护理协调员、执业护士、与布里格姆妇女医院附属初级保健诊所和佛罗里达大学健康阿彻家庭初级保健诊所有关联的60岁或60岁以上的社区居民患者有资格参与这项研究。通过对参与者的半结构化和探索性访谈，我们的团队通过内容分析确定了最终用户的需求。结果用户对初级保健人员(n= 24)和患者(n= 18)的需求被归类为以下主题：工作量负担；系统沟通；患者病情亲自评估；个人支持网络；激励工具；患者对跌倒风险的理解；个性化资源；基于证据的安全练习和专家指导。虽然其中一些主题是针对初级保健人员或患者的，但也有一些主题满足了两组最终用户所表达的需求。结论我们的研究结果表明，初级保健中的跌倒预防管理存在许多护理缺陷，个性化、可操作和循证的CDS有潜力解决其中的一些缺陷。
Background and SignificanceFalls in community-dwelling older adults are common, and there is a lack of clinical decision support (CDS) to provide health care providers with effective, individualized fall prevention recommendations.ObjectivesThe goal of this research is to identify end-user (primary care staff and patients) needs through a human-centered design process for a tool that will generate CDS to protect older adults from falls and injuries.MethodsPrimary care staff (primary care providers, care coordinator nurses, licensed practical nurses, and medical assistants) and community-dwelling patients aged 60 years or older associated with Brigham & Women's Hospital-affiliated primary care clinics and the University of Florida Health Archer Family Health Care primary care clinic were eligible to participate in this study. Through semi-structured and exploratory interviews with participants, our team identified end-user needs through content analysis.ResultsUser needs for primary care staff (n= 24) and patients (n= 18) were categorized under the following themes: workload burden; systematic communication; in-person assessment of patient condition; personal support networks; motivational tools; patient understanding of fall risk; individualized resources; and evidence-based safe exercises and expert guidance. While some of these themes are specific to either primary care staff or patients, several address needs expressed by both groups of end-users.ConclusionOur findings suggest that there are many care gaps in fall prevention management in primary care and that personalized, actionable, and evidence-based CDS has the potential to address some of these gaps.
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社区居住老年人的跌倒预防：当前指南和老年人的应对措施。
影响因子：
1.3
作者：
H. Lach;W. Noimontree
通讯作者：
W. Noimontree
DOI：
10.1093/geront/gnw074
发表时间：
2017-08
期刊：
The Gerontologist
影响因子：
--
作者：
Casey CM;Parker EM;Winkler G;Liu X;Lambert GH;Eckstrom E
通讯作者：
Eckstrom E
DOI：
10.1093/jamia/ocx115
发表时间：
2018-05-01
影响因子：
6.4
作者：
Nanji, Karen C.;Seger, Diane L.;WBates, David
通讯作者：
WBates, David
护士的临床决策支持：跌倒风险和预防示例
DOI：
--
发表时间：
2015
期刊：
Computers, Informatics, Nursing
影响因子：
--
作者：
K. S. Lytle;N. Short;R. Richesson;Monica M. Horvath
通讯作者：
Monica M. Horvath
影响初级保健中跌倒预防实践实施的因素。
影响因子：
1.2
作者：
A. McConville;Katie Hooven
通讯作者：
Katie Hooven