Nurses' experience with the clinical application of a research-based nursing protocol in a long-term care setting.
Nurses' experience with the clinical application of a research-based nursing protocol in a long-term care setting.
复制标题
护士在长期护理环境中临床应用基于研究的护理方案的经验。
DOI：
10.1111/j.1365-2702.2007.01697.x
复制
发表时间：
2007
影响因子：
4.2
通讯作者：
Kovach,ChristineR
中科院分区：
文献类型：
--
作者：
Simpson,MichelleR;Stevens,Patricia;Kovach,ChristineR
目的：描述护士在临床应用研究型护理方案的经验（系列试验干预）在一个长期护理设置。设计。一个描述性的，定性的研究进行了方便的样本八名护士从三个养老院，根据系列试验干预方案评估和治疗痴呆症居民。方法：每位护士在9月至12月期间参加了一次半结构化访谈，2003年和2004年5月。访谈录了音，并作了逐字记录。定性内容分析的数据，包括主题分析，用于识别模式的experience.Results。三个主题出现，提供洞察的因素，有助于在临床环境中实施基于研究的实践。这些措施包括确定干预，有关步骤的协议和促进者和barriers.Conclusions之间的相互作用的协议，居民接受护理，护士提供护理和设置中提供的护理，是相互作用，以影响预期的结果。需要持续改进患者护理，并需要具备全面身体评估能力的人员成功实施此循证方案。监管氛围、工作量结构和跨学科合作是成功使用系列试验干预的其他因素。
Aim.To describe nurses’ experience with the clinical application of a research‐based nursing protocol (The Serial Trial Intervention) within a long‐term care setting.Design.A descriptive, qualitative study was conducted with a convenience sample of eight nurses from three nursing homes, who assessed and treated residents with dementia according to the Serial Trial Intervention protocol.Methods.Each nurse participated in a semi‐structured interview between September 2003 and May 2004. Interviews were audiotaped and transcribed verbatim. Qualitative content analysis of the data, including thematic analysis, was used to identify patterns of experience.Results.Three themes emerged that offer insight into the factors contributing to implementation of research‐based practice in a clinical setting. These include determining to intervene, pertinent steps of the protocol and facilitators and barriers.Conclusions.The interplay between the protocol, the residents receiving care, the nurses providing care and the setting in which the care is provided, are interacting to affect the outcomes expected.Relevance to clinical practice.Nurses who recognize the research process, the need for continual improvement in patient care and who possess competency in comprehensive physical assessment are needed to implement this evidence‐based protocol successfully. The regulatory atmosphere, workload structure and interdisciplinary collaboration are additional factors contributing to the successful use of the Serial Trial Intervention.