■尽管许多研究表明对患者有益的创新,很少有人将其纳入临床实践。本研究旨在通过促进将以患者为中心的结果研究有效传播给门诊透析设施的医护人员来增强患者护理,在以患者为中心的结果研究所(PCORI)的传播和实施框架的帮助下。
■传播和实施项目。
■美国的门诊血液透析设施。
■我们召集了主要利益相关者的小组,其中包括研究人员,患者主题专家,和透析人员。他们的作用是就传播研究结果的内容和方法提供指导。我们专注于2个关键患者安全领域-护理协调或护理过渡以及心理或行为健康-我们开发了虚拟教育模块。然后,国家5钻石患者安全计划将这些模块提供给门诊透析设施。
■2022年,超过2,500家透析设施和大约40,000名透析工作人员在护理协调模块中进行了培训,以及300多个透析设施和5,000名心理健康模块的工作人员。累计,这些模块影响了超过179,000名患者。有效性的证据是实习生对研究结果和实施考虑的知识的显着增加(P≤0.05)。
■潜在的选择偏差,因为未参与该计划的透析设施可能与参与该计划的透析设施显着不同,这可能会影响普适性。此外,不同模块释放的可变时机可能会影响设施的吸收。
■通过使用关键利益相关者指导和可访问的虚拟教育模块,实施框架显示了在门诊透析环境中有效传播研究结果的前景.这种方法也可能对更广泛的医疗保健环境产生影响。
我们的研究解决了一个常见的医疗保健挑战-许多改善患者护理的有希望的想法从未真正触及患者。我们旨在通过与门诊透析的医护人员分享研究来弥合传播差距,促进循证实践。我们与专家合作,病人,和透析人员编写易于理解的教育材料,重点关注两个关键主题:护理协调和心理健康。2022年,我们的培训使2500多家设施和40,000名员工受益,以进行护理协调。和300个设施,5,000名心理健康工作人员,积极影响超过179,000名患者。我们发现,培训显著增加了员工的知识。我们的方法显示了在透析中心和其他医疗保健环境中有效共享研究的希望。
UNASSIGNED: Despite many studies suggesting beneficial innovations for patients, few make it into clinical practice. This study aims to enhance patient care by facilitating effective dissemination of patient-centered outcomes research to health care workers in outpatient dialysis facilities, aided by the Patient-Centered Outcomes Research Institute\'s (PCORI) dissemination and implementation framework.
UNASSIGNED: Dissemination and implementation project.
UNASSIGNED: Outpatient hemodialysis facilities in the United States.
UNASSIGNED: We brought together panels of key stakeholders, which included researchers, patient subject matter experts, and dialysis personnel. Their role was to provide guidance on the content and methods for disseminating research findings. With a focus on 2 critical patient safety areas-care coordination or care transitions and mental or behavioral health-we developed virtual education modules. These modules were then made available to outpatient dialysis facilities by the national 5-Diamond Patient Safety Program.
UNASSIGNED: In 2022, the training was used by more than 2,500 dialysis facilities and approximately 40,000 dialysis staff in the care coordination module, and by more than 300 dialysis facilities and 5,000 staff for the mental health module. Cumulatively, the modules affected more than 179,000 patients. Evidence of efficacy was the significant increase in trainee knowledge of research findings and implementation considerations (P ≤ 0.05).
UNASSIGNED: Potential selection bias because dialysis facilities that did not participate in the program may differ significantly from those that did, which may affect generalizability. In addition, variable timing in release of the different modules may have influenced uptake by facilities.
UNASSIGNED: By using key stakeholder guidance and accessible virtual education modules, the implementation framework shows promise in effectively disseminating research findings within outpatient dialysis settings. This method potentially carries implications for broader health care settings as well.
UNASSIGNED: Our study addresses a common health care challenge-many promising ideas for improving patient care never actually reach the patients. We aimed to bridge the dissemination gap by sharing research with health care workers in outpatient dialysis, promoting evidence-based practice. We collaborated with experts, patients, and dialysis personnel to develop easy-to-understand educational materials focused on 2 critical topics: care coordination and mental health. In 2022, our training benefited more than 2,500 facilities and 40,000 staff for care coordination, and 300 facilities with 5,000 staff for mental health, positively affecting more than 179,000 patients. We found that the training significantly increased knowledge among staff. Our approach shows promise for sharing research effectively in dialysis centers and potentially in other health care settings.