Exploring Implementation Processes of a Multicomponent Family Support Intervention in Intensive Care Units (FICUS) Study: A Mixed‐Methods Process Evaluation DOI Creative Commons
Saskia Oesch, Lotte Verweij, Marco Riguzzi

et al.

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 18, 2024

ABSTRACT Aim To investigate the experience with and progress of implementation a Family Support Intervention (FSI) into adult intensive care units (ICUs) as part cluster‐randomised FICUS trial. Design A mixed‐methods process evaluation using multiple case study approach guided by normalisation theory. Methods This took place between June 2022 July 2023 in eight Swiss ICUs randomised to intervention arm. tailored strategy was used introduce multicomponent FSI, consisting new family nursing role pathway, interprofessional ICU teams. Participants were 40 key clinical partners. Qualitative data collected twice, early (3–6 months) mid‐implementation (9–12 months), small group interviews. questionnaire psychometric measures (Acceptability Measure, Feasibility Appropriateness Normalisation Measure Development Questionnaire) administered at mid‐implementation. RITA pragmatic rapid thematic analysis descriptive statistics analyse data. quantitative results then compared across (cases). Findings indicated desired FSI integration overall cases, high acceptability appropriateness ratings but only moderate feasibility scores. Study‐related barriers noted all (i.e., delivery trial). Implementation included nurses' limited capacity clinician's attitudes towards FSI. Leadership support collaboration identified facilitators. Case‐based, integrated findings yielded two pathways, namely protracted adopters. Conclusion related within context that required degree standardisation protocol adherence. shaped an culture care, sufficient staff time resources, leadership support. The study's will inform future complex health interventions ICUs. Reporting Method Good reporting Mixed‐Methods Study (GRAMMS). Patient or Public Contribution Within trial, patient advisory board expert, three members own lived critical collaborate research team.

Language: Английский

Mapping the evidence on dementia care pathways – A scoping review DOI Creative Commons
Marianne Saragosa, Evan MacEachern, Mary Chiu

et al.

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 17, 2024

One way of standardizing practice and improving patient safety is by introducing clinical care pathways; however, such pathways are typically geared towards assisting clinicians healthcare organizations with evidence-based practice. Many dementia exist no agreed-upon version a pathway little data on experiences about their use or outcomes. The objectives the review were: (1) to identify pathway's purpose, methods used deploy pathway, expected user types; (2) core components, outcomes, implications for persons partners; (3) determine extent involvement and/or partners in developing, implementing, evaluating pathways.

Language: Английский

Citations

3
Translation and Psychometric Validation of the German Version of the Iceland–Family Perceived Support Questionnaire (ICE-FPSQ): A Cross-Sectional Study DOI Creative Commons
Katinka Freudiger, Lotte Verweij, Rahel Naef

et al.

Journal of Family Nursing, Journal Year: 2024, Volume and Issue: 30(2), P. 114 - 126

Published: April 15, 2024

Supporting families experiencing critical illness through family interventions is essential to ease burden, enable management, and reduce their risk for adverse health. Thus far, there no validated German instrument measure the perceived support receive from nurses. We translated 14-item Iceland–Family Perceived Support Questionnaire (ICE-FPSQ) tested its psychometric properties with 77 members of intensive care patients. Compared original instrument, construct validity ICE-FPSQ (FPSQ-G) showed unstable results a partially divergent structure, most likely caused by limited sample size. The first two principal components explained 61% overall variance good internal consistency Cronbach’s alpha .92. FPSQ-G promising members’ perceptions they received nurses in acute setting but requires further validation.

Language: Английский

Citations

2
Dementia‐Friendly Hospital—The Perspective of Professional Dementia Experts DOI Creative Commons
Christina Manietta, Daniel Purwins, Christiane Pinkert

et al.

Journal of Clinical Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 17, 2024

ABSTRACT Aim To investigate the professional dementia experts' understanding of a dementia‐friendly hospital to identify its characteristics. Design We used qualitative design embedded in case study. A total 16 semi‐structured expert interviews were conducted with 17 experts. Using inductive content analysis, analysed participatory manner involving group researchers and Result s identified six characteristics hospitals: Proud be dementia‐friendly—That's what we want; Seeing human being—Taking care everyone; Having everyone on board—It's collective task; Being professional—It takes more than being nice kind; Rethinking ‘running’ system—We have change, not them; part community—Thinking beyond hospital. Conclusion The concept seems complex requires rethinking traditional For conceptualisation, involvement people their relatives is important gain comprehensive understanding. Implications for Profession Patient Care characterised by that comprises safe, familiar supportive environment, prepared but also flexible, has board, sees being. become dementia‐friendly, individual interventions such as training courses can starting point. However, an overall required includes components contribute successful implementation welcoming culture dementia. Impact Our findings perspective experts conceptualisation hospitals. Reporting Method reported our study according COREQ checklist. Public Contribution investigation one larger In this DEMfriendlyHospital study, interviewed experts, involved them various stages research process.

Language: Английский

Citations

1
Exploring Implementation Processes of a Multicomponent Family Support Intervention in Intensive Care Units (FICUS) Study: A Mixed‐Methods Process Evaluation DOI Creative Commons
Saskia Oesch, Lotte Verweij, Marco Riguzzi

et al.

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 18, 2024

ABSTRACT Aim To investigate the experience with and progress of implementation a Family Support Intervention (FSI) into adult intensive care units (ICUs) as part cluster‐randomised FICUS trial. Design A mixed‐methods process evaluation using multiple case study approach guided by normalisation theory. Methods This took place between June 2022 July 2023 in eight Swiss ICUs randomised to intervention arm. tailored strategy was used introduce multicomponent FSI, consisting new family nursing role pathway, interprofessional ICU teams. Participants were 40 key clinical partners. Qualitative data collected twice, early (3–6 months) mid‐implementation (9–12 months), small group interviews. questionnaire psychometric measures (Acceptability Measure, Feasibility Appropriateness Normalisation Measure Development Questionnaire) administered at mid‐implementation. RITA pragmatic rapid thematic analysis descriptive statistics analyse data. quantitative results then compared across (cases). Findings indicated desired FSI integration overall cases, high acceptability appropriateness ratings but only moderate feasibility scores. Study‐related barriers noted all (i.e., delivery trial). Implementation included nurses' limited capacity clinician's attitudes towards FSI. Leadership support collaboration identified facilitators. Case‐based, integrated findings yielded two pathways, namely protracted adopters. Conclusion related within context that required degree standardisation protocol adherence. shaped an culture care, sufficient staff time resources, leadership support. The study's will inform future complex health interventions ICUs. Reporting Method Good reporting Mixed‐Methods Study (GRAMMS). Patient or Public Contribution Within trial, patient advisory board expert, three members own lived critical collaborate research team.

Language: Английский

Citations

1