Abstract

Objective

The study sought to outline how a clinical risk prediction model for identifying patients at risk of infection is perceived by home care nurses, and to inform how the output of the model could be integrated into a clinical workflow.

Materials and Methods

This was a qualitative study using semi-structured interviews with 50 home care nurses. Interviews explored nurses’ perceptions of clinical risk prediction models, their experiences using them in practice, and what elements are important for the implementation of a clinical risk prediction model focusing on infection. Interviews were audio-taped and transcribed, with data evaluated using thematic analysis.

Results

Two themes were derived from the data: (1) informing nursing practice, which outlined how a clinical risk prediction model could inform nurse clinical judgment and be used to modify their care plan interventions, and (2) operationalizing the score, which summarized how the clinical risk prediction model could be incorporated in home care settings.

Discussion

The findings indicate that home care nurses would find a clinical risk prediction model for infection useful, as long as it provided both context around the reasons why a patient was deemed to be at high risk and provided some guidance for action.

Conclusions

It is important to evaluate the potential feasibility and acceptability of a clinical risk prediction model, to inform the intervention design and implementation strategy. The results of this study can provide guidance for the development of the clinical risk prediction tool as an intervention for integration in home care settings.

中文翻译：

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“行动的催化剂”：在家庭护理环境中实施感染临床风险预测模型的因素

 抽象的

 客观的

该研究试图概述家庭护理护士如何看待用于识别有感染风险的患者的临床风险预测模型，并告知如何将模型的输出整合到临床工作流程中。

 材料和方法

这是一项对 50 名家庭护理护士进行半结构化访谈的定性研究。访谈探讨了护士对临床风险预测模型的看法、他们在实践中使用这些模型的经验，以及哪些要素对于实施以感染为重点的临床风险预测模型很重要。访谈被录音并转录，并使用主题分析评估数据。

 结果

从数据中得出两个主题：（1）为护理实践提供信息，概述了临床风险预测模型如何为护士的临床判断提供信息并用于修改他们的护理计划干预措施；（2）对评分进行操作，总结了临床风险预测模型可以纳入家庭护理环境中。

 讨论

研究结果表明，家庭护理护士会发现感染的临床风险预测模型很有用，只要它既提供了患者被认为处于高风险的原因的背景信息，又提供了一些行动指导。

 结论

评估临床风险预测模型的潜在可行性和可接受性，为干预设计和实施策略提供信息非常重要。这项研究的结果可以为临床风险预测工具的开发提供指导，作为家庭护理环境中整合的干预措施。