Care pathways are complex interventions in complex systems: New European Pathway Association framework

IF 0.8 Q4 NURSING
D. Seys, M. Panella, M. Panella, R. vanZelm, W. Sermeus, Daan Aeyels, L. Bruyneel, E. Coeckelberghs, K. Vanhaecht
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引用次数: 20

Abstract

Care pathway implementation is characterised by a dual complexity. A care pathway itself represents a complex intervention with multiple interacting and interdependent intervention components and outcomes. The organisations in which care pathways are being implemented represent complex systems that need to be directed at change through an in-depth understanding of their external and internal context in which they are functioning in. This study sets out a new evidence-based and pragmatic framework that unpacks how intervention mechanisms, intervention fidelity and care context are converge and represent interacting processes that determine success or failure of the care pathway. We recommend researchers looking to increase the effectiveness of care pathway implementation and accelerate improvement of desired outcomes to adopt this framework from inception to implementation of the intervention.
护理途径是复杂系统中的复杂干预:新欧洲途径协会框架
护理途径的实施具有双重复杂性。护理途径本身是一种复杂的干预,具有多种相互作用和相互依赖的干预成分和结果。正在实施护理路径的组织代表了复杂的系统,需要通过深入了解其运作的外部和内部环境来指导变革。本研究提出了一个新的基于证据和实用主义的框架,揭示了干预机制、干预保真度和护理环境是如何融合的,并代表了决定护理途径成功或失败的相互作用过程。我们建议研究人员希望提高护理途径实施的有效性,并加速改善预期结果,从开始到实施干预都采用该框架。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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