目的:探讨卒中幸存者的观点,在医院到家庭的过渡护理期间,护理人员和护士教练参与健康教练计划。
背景:中风是严重影响中国人民健康和安全的重大公共卫生问题。护士主导的健康指导是一个很有前途的支持选择,可以为中风幸存者和家庭护理人员提供顺利的医院到家庭过渡。定性研究对于深入了解他们对使用该程序的看法很有价值。
方法:探索性,描述性定性过程评估与前一项随机对照试验同时进行.数据来自26名中风幸存者,33名护理人员和4名护士教练进行半结构化访谈。采用感应反身主题分析方法进行数据分析。报告本研究时遵循COREQ检查表。
结果:从数据中产生了七个主题:(1)个性化健康教练课程的适用性,(2)培养自我效能感,建立自我护理技能,(3)护士教练员的关键作用,(4)过渡期间医疗团队之间的协调,(5)充分的社区和社会支持,(6)出院后康复服务不足,(7)护士教练的工作量增加。
结论:这项研究捕捉到了由护士主导的健康指导计划对中风幸存者医院到家庭过渡护理的观点,护理人员和护士教练。个性化的健康指导课程和驾驶自我效能感被认为是增强中风幸存者和护理人员自我护理技能的促进者。护士教练在协调医疗团队以及适当的社区和社会支持方面的关键作用被认为是该计划实施的动力框架。然而,卫生系统障碍,例如康复服务不足和护士工作量大,仍然需要解决,以确保过渡护理中健康教练干预的可持续性。
结论:该研究表明,实施护士主导的健康指导以促进卒中后医院到家庭的过渡性护理的可行性。研究结果还强调了在医疗保健中实施循证干预措施时进行定性过程评估的重要性。
背景:该试验已在澳大利亚新西兰临床试验注册中心注册(ID:ACTRN12619000321145)。
OBJECTIVE: To explore the perspectives of stroke survivors, caregivers and nurse coaches on a health coaching program during hospital-to-home transitional care.
BACKGROUND: Stroke is a major public health problem that seriously affects the health and safety of people in
China. Nurse-led health coaching is a promising support option in enabling smooth hospital-to-home transition for stroke survivors and family caregivers. A qualitative study is valuable for gaining insight into their perspectives on using this program.
METHODS: An exploratory, descriptive qualitative process evaluation was conducted parallel with a former randomised controlled trial. Data were obtained from 26 stroke survivors, 33 caregivers and four nurse coaches with semi-structured interviews. The inductive reflexive thematic analysis approach was used for data analysis. The COREQ checklist was followed in reporting this study.
RESULTS: Seven themes were generated from the data: (1) the applicability of individualised health coaching sessions, (2) driving self-efficacy to establish self-care skills, (3) the key role of nurse coaches, (4) coordination among healthcare teams during the transition, (5) adequate community and social support, (6) insufficient rehabilitative services after discharge and (7) perceived extra workload for nurse coaches.
CONCLUSIONS: The study captured perspectives on a nurse-led health coaching program towards hospital-to-home transition care from stroke survivors, caregivers and nurse coaches. Individualised health coaching sessions and driving self-efficacy were perceived as facilitators for empowering the self-care skills of stroke survivors and caregivers. The key role of nurse coaches in coordinating healthcare teams and adequate community and social support were detected as the power frame of the program\'s implementation. However, health system obstacles, such as insufficient rehabilitative services and the high workload of nurses, still need to be addressed to ensure the sustainability of health coaching intervention in transitional care.
CONCLUSIONS: The study suggested the feasibility of implementing nurse-led health coaching to smooth post-stroke hospital-to-home transitional care. The findings also highlighted the importance of qualitative process evaluation when implementing evidence-based interventions in health care.
BACKGROUND: The trial was registered with the Australia New Zealand Clinical Trials Registry (ID: ACTRN12619000321145).