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首页> 外文期刊>Journal of medical Internet research >Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation
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Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation

机译：实施数字工具，以支持社区的心理健康服务中的共享护理计划：定性评估

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Background Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using principles of coproduction, an innovative mobile digital care pathway tool (CPT) was developed to be used on a tablet computer and piloted in the West of England. Objective The aim of this study was to examine mental health care providers’ views of and experiences with the CPT during the pilot implementation phase and identify factors influencing its implementation. Methods A total of 20 in-depth telephone interviews were conducted with providers participating in the pilot and managers in the host organization. Interviews were audio recorded, transcribed, anonymized, and thematically analyzed guided by the Consolidated Framework for Implementation Research. Results The tool was thought to facilitate coproduced recovery-focused care planning, a policy and organizational as well as professional priority. Internet connectivity issues, system interoperability, and access to service users’ health records affected use of the tool during mobile working. The organization’s resources, such as information technology (IT) infrastructure and staff time and IT culture, influenced implementation. Participants’ levels of use of the tool were dependent on knowledge of the tool and self-efficacy; perceived service-user needs and characteristics; and perceptions of impact on the therapeutic relationship. Training and preparation time influenced participants’ confidence in using the tool. Conclusions Findings highlight the importance of congruence between staff, organization, and external policy priorities and digital technologies in aiding intervention engagement, and the need for ongoing training and support of those intended to use the technology during and after the end of implementation interventions.
机译：背景心理健康服务旨在提供恢复焦点的护理并促进副本护理计划。在实践中，精神卫生提供商可以找到支持个性化的副本护理，同时平衡行政和性能需求。为了帮助满足此目的和使用副规范的原则，开发了一种创新的移动数字护理途径工具（CPT）以在平板电脑上使用，并在英格兰以西驾驶。目的本研究的目的是在试点实施阶段检查心理保健提供者对CPT的看法和经验，并确定影响其实施的因素。方法使用参与主机组织中的试点和管理者的提供商进行共有20个深入的电话访谈。采访是综合框架的录制，转录，匿名的，并主题分析的录音，以综合实施研究指导。结果该工具被认为有助于携带恢复恢复的护理计划，政策和组织以及专业优先事项。 Internet连接问题，系统互操作性和访问服务用户的健康记录在移动工作期间影响了工具的使用。该组织的资源，如信息技术（IT）基础设施和员工时间和IT文化，影响实施。参与者的使用水平依赖于对工具和自我效能的了解;感知服务用户的需求和特征;和对治疗关系的影响的看法。培训和准备时间影响参与者对使用该工具的信心。结论发现在辅助干预婚姻方面突出了员工，组织和外部政策优先事项和数字技术之间的重要性，以及持续培训和支持旨在在实施干预措施结束时和之后使用该技术的培训和支持。

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