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首页> 外文期刊>Journal of clinical nursing >Factors influencing the implementation of Epilepsy Specialist Nurse role: Using the Consolidation Framework for Implementation Research
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Factors influencing the implementation of Epilepsy Specialist Nurse role: Using the Consolidation Framework for Implementation Research

机译：影响癫痫专家护士实施的因素：利用实施研究的合并框架

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Abstract Background Research to support the added value of including Epilepsy Specialist Nurses as members of the multidisciplinary team is developing, yet little information exists on factors influencing the translation of these roles into practice. Aim To describe the enabling and inhibiting factors to the implementation of the Epilepsy Specialist Nurse role in the Republic of Ireland. Methods A qualitative design involving semi‐structure interviews, observation and analysis of documents, such as portfolios was used. The sample included 12 Epilepsy Specialist Nurses, 24 multidisciplinary team members, and 35 individuals with epilepsy and family members. Data were analysed using the Consolidation Framework for Implementation Research. Reporting rigour is demonstrated using the COREQ checklist (See Appendix S1). Results While there was overwhelming support for the role, barriers and enablers were identified across all domains of the Consolidation Framework for Implementation Research. Enablers included national policies and guidelines, leadership from senior nursing and medical colleagues, climate of learning and mentorship, networking opportunities, infrastructural supports and competence of Epilepsy Specialist Nurses. Barriers included the limited consideration of service expansion and the increasingly complex nature of clinical cases on workload capacity. Deficits in infrastructural supports, challenges in relation to role preparation, role implementation and role responsibility, including concerns around lone practitioner models and concerns that the role was a cost‐saving measure, also emerged as potential barriers to future sustainability. Conclusion The Consolidation Framework for Implementation Research offers researchers a pragmatic typology for analysing interrelationships between enabling and inhibiting factors that impact implementation of advanced practice roles, across different evidence sources, disciplines and boundaries. Relevance to clinical practice In order to secure role sustainability, managers need to address the rate of service expansion, models of role development, deficits in supports and perceived motivations for role development on the quality, acceptability and sustainability of services provided.
机译：摘要背景研究支持包括癫痫专家护士的附加值作为多学科团队的成员正在开发，但影响这些角色的翻译的因素存在很少的信息。旨在描述在爱尔兰共和国实施癫痫专家护士作用的能力和抑制因素。方法使用涉及半结构访谈，观察和分析文件的定性设计，如投资组合。该样本包括12名癫痫专家护士，24个多学科团队成员，35名癫痫和家庭成员。使用巩固框架进行分析数据进行分析。使用Coreq清单演示报告严格（参见附录S1）。结果虽然对巩固框架的所有领域进行了压倒性的支持，但在整合框架的所有域中都有障碍和推动者。推动者包括国家政策和指导方针，来自高级护理和医疗同事的领导，学习和指导气氛，网络机会，基础设施支持和癫痫专家护士的能力。障碍包括对服务扩张的有限审议以及临床案件对工作负载能力的越来越复杂的性质。基础设施支持的赤字，与角色准备，角色实施和角色责任的挑战，包括孤独从业者模式的担忧，并且担心作用是节省成本的措施，也被出现为未来可持续性的潜在障碍。结论实施研究的合并框架为研究人员提供了一种务实的类型，用于分析在不同的证据来源，纪律和界限之间影响先进实践角色的能力和抑制因素之间的相互关系。与临床实践的相关性为了确保角色可持续性，经理需要解决服务延长速度，角色发展模式，支持和感知动机的发挥作用，提供的质量，可接受性和服务的可持续性。

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