tailieunhanh - báo cáo khoa học: " Adoption and sustainability of decision support for patients facing health decisions: an implementation case study in nursing"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Adoption and sustainability of decision support for patients facing health decisions: an implementation case study in nursing | Implementation Science BioMed Central Research article Open Access Adoption and sustainability of decision support for patients facing health decisions an implementation case study in nursing Dawn Stacey 1 2 Marie-Pascale Pomey3 Annette M O Connor1 2 and Ian D Graham1 2 Address 1School of Nursing University of Ottawa 451 Smyth Road Ottawa Canada 2Clinical Epidemiology Program Ottawa Health Research Institute 1053 Carling Avenue Ottawa Canada and 3University of Montreal Montreal Canada Email Dawn Stacey - dstacey@ Marie-Pascale Pomey - Annette M O Connor - aoconnor@ Ian D Graham - igraham@ Corresponding author Published 24 August 2006 Received 26 May 2006 Implementation Science 2006 1 17 doi 1748-5908-1-17 Accepted 24 August 2006 This article is available from http content 1 1 17 2006 Stacey et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Effective interventions prepare patients for making values-sensitive health decisions by helping them become informed and clarifying their values for each of the options. However patient decision support interventions have not been widely implemented and little is known about effective models for delivering them to patients. The purpose of this study was to describe call centre nurses adoption of a decision support protocol into practice following exposure to an implementation intervention and to identify factors influencing sustainable nursing practice changes. Methods Exploratory case study at a Canadian province-wide call centre guided by the Ottawa Model of Research Use. Data sources included a survey of nurses who participated in an implementation intervention n 31 2