利用行为改变理论制定循证战略，在农村急诊科实施 HIRAID® 急诊护理框架。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2024-11-14 DOI:10.1016/j.ienj.2024.101538

Belinda Kennedy , Kate Curtis , Sarah Kourouche , Louise Casey , Dorothy Hughes , Andrea McCloughen

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引用次数: 0

摘要

引言急诊护士对提供急诊护理至关重要，尤其是在医疗支持有限的农村地区。为了向护士提供支持，需要实施经过验证的急救护理框架 HIRAID®。在急诊环境中实施干预措施是出了名的困难，而农村地区由于地域广阔，资源有限，面临着更多的挑战。本研究旨在制定一项有实证依据的战略，在一个大型农村/地区卫生区实施 HIRAID®：方法：在制定实施策略时使用了行为改变轮和理论领域框架。与实施 HIRAID® 的障碍和促进因素相关的理论领域被映射到干预功能上。考虑了相关的行为改变技术，以确定是否适合消除障碍或增强促进因素，以及是否符合 APEASE 标准：结果：七个干预功能，如建模、教育和激励，被认为适合纳入其中。这些干预功能被映射到 20 个 BCT 上，并计划通过 11 种交付模式来实施，包括灵活的教育计划、文件模板和工作场所支持：本研究确定了相关的BCT和实施机制，以促进行为的改变，并支持在农村卫生保健区采用HIRAID®急救护理框架。

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Development of an evidence-based strategy to implement the HIRAID® emergency nursing framework in rural emergency departments using behaviour change theory

Introduction

Emergency nurses are critical to emergency care delivery, particularly in rural areas with limited medical support. To support nurses, the validated emergency nursing framework, HIRAID®, was to be implemented. Implementing interventions in the emergency context is notoriously difficult and rural areas have added challenges with limited resources across large geographic areas. This study aims to develop an evidence-informed strategy to implement HIRAID® across a large rural/regional health district.

Methods

The behaviour change wheel and Theoretical Domains Framework were used in developing the implementation strategy. The theoretical domains, linked to barriers and enablers to implementing HIRAID®, were mapped to intervention functions. Associated Behaviour Change Techniques were considered to determine suitability to address barriers or enhance enablers, as well as suitability according to and the APEASE criteria.

Results

Seven intervention functions, such as modelling, education, and incentivisation, were deemed suitable for inclusion. The intervention functions were mapped to 20 BCTs and planned to be operationalised through 11 delivery modes, including a flexible education program, documentation templates, and support in the workplace.

Conclusions

This study determined the relevant BCTs and mechanisms of delivery to mediate change in behaviour and support uptake of the HIRAID® emergency nursing framework in a rural health district.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.