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的临床风险预测模型的因素

摘要

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，并告知如何将该模型的输出整合到临床工作流程中。

材料和方法

这是一项定性研究，对 50 名家庭护理护士进行了半结构化访谈。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，以及哪些因素对于实施以感染为重点的临床风险预测模型很重要。访谈被录音和转录，数据使用主题分析进行评估。

结果

从数据中得出两个主题：(1) 告知护理实践，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，以及 (2) 操作评分，总结如何临床风险预测模型可以纳入家庭护理环境。

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，只要它提供关于患者被认为处于高风险的原因的上下文并提供一些行动指导。

结论

重要的是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。本研究的结果可以为临床风险预测工具的开发提供指导，作为融入家庭护理环境的干预措施。