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Developing and testing a reflection method for implementation of the informal care guideline in community nursing: Design‐based research
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-03-22 , DOI: 10.1111/jan.16156
Nicole Vullings 1 , Marjo Maas 2 , Marian Adriaansen 1 , Hester Vermeulen 2 , Philip van der Wees 2 , Maud Heinen 2
Affiliation  

AimTo develop a reflection method for community nurses and certified nursing assistants to support the implementation of the Dutch Informal Care guideline in daily care.DesignDesign‐based research.MethodsA design group and four test groups of community nurses and nursing assistants were formed to develop a reflection method that aligns with the needs and preferences of its end‐users. The design and test group meetings were video recorded. The video data were iteratively discussed and analysed thematically to adapt and refine the method and to identify its key features.ResultsA final reflection method was developed. Five main themes were identified from the analysis: the group, reflective triggers, knowledge about the guidelines, the coach and preconditions. The themes are linked to nine key features representing the building blocks of the reflection method. The key features are group size, participants with different (educational) backgrounds, pairs of participants, expressing thoughts, video feedback, reflection game, making the connection with the guideline, coaching as a process facilitator and meeting organizational and contextual conditions for implementation.ConclusionAn evidence‐ and practice‐based reflection method for community nurses and certified nursing assistants is developed to support the implementation. By involving community nurses and certified nursing assistants, the method closely matches their needs and preferences. Critical elements of the reflection method are a game element, video feedback and working in pairs in a group of participants from different (educational) backgrounds. Guidance is needed to make the transfer from theory to practice.ImpactA reflection method for community nurses and certified nursing assistants was developed to enhance care work according to guideline recommendations, aiming to improve the care provided by informal caregivers.Report MethodThe COREQ guideline was used.Patient or Public ContributionThis reflection method was developed in close collaboration with all stakeholders during the entire study.

中文翻译:

开发和测试社区护理中非正式护理指南实施的反思方法:基于设计的研究

目的为社区护士和认证护理助理开发一种反思方法,以支持荷兰非正式护理指南在日常护理中的实施。设计基于设计的研究。方法由社区护士和护理助理组成一个设计组和四个测试组来开发一种反思方法符合最终用户的需求和偏好的方法。设计和测试组会议均进行视频录制。对视频数据进行迭代讨论和主题分析,以调整和完善该方法并确定其关键特征。结果开发了最终的反射方法。从分析中确定了五个主题:小组、反思触发因素、对指南的了解、教练和先决条件。这些主题与代表反射方法构建块的九个关键特征相关联。主要特征是小组规模、具有不同(教育)背景的参与者、参与者成对、表达想法、视频反馈、反思游戏、与指南建立联系、作为过程促进者进行辅导以及满足实施的组织和环境条件。为社区护士和认证护理助理制定了基于证据和实践的反思方法来支持实施。通过社区护士和经过认证的护理助理的参与,该方法非常符合他们的需求和偏好。反思方法的关键要素是游戏元素、视频反馈以及来自不同(教育)背景的参与者小组中的结对工作。从理论到实践的转变需要指导。影响针对社区护士和认证护理助理制定了反思方法,以根据指南建议加强护理工作,旨在改善非正式护理人员提供的护理。报告方法使用了 COREQ 指南。患者或公众贡献这种反思方法是在整个研究期间与所有利益相关者密切合作开发的。
更新日期:2024-03-22
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