Sökning: WFRF:(Christensen Jane)
> (2020-2024) >
Implementation of r...
Implementation of remote home care : Assessment guided by the RE-AIM framework
-
- Oelschlägel, Lina (författare)
- Lovisenberg Diaconal University College, Norway; Department of Public Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
-
- Moen, Anne (författare)
- Department of Public Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
-
- Dihle, Alfhild (författare)
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
-
visa fler...
-
- Christensen, Vivi L. (författare)
- Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway
-
- Heggdal, Kristin (författare)
- Faculty of Health Sciences, VID Specialized University, Oslo, Norway
-
- Österlind, Jane, 1959- (författare)
- Marie Cederschiöld högskola,Palliativt forskningscentrum, PFC
-
- Steindal, Simen A. (författare)
- Lovisenberg Diaconal University College, Norway; Faculty of Health Sciences, VID Specialized University, Oslo, Norway
-
visa färre...
-
(creator_code:org_t)
- Springer Nature, 2024
- 2024
- Engelska.
-
Ingår i: BMC Health Services Research. - : Springer Nature. - 1472-6963. ; 24
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://esh.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background Welfare technology interventions have become increasingly important in home-based palliative care for facilitating safe, time-efficient, and cost-effective methods to support patients living independently. However, studies evaluating the implementation of welfare technology innovations are scarce, and the empirical evidence for sustainable models using technology in home-based palliative care remains low. This study aimed to report on the use of the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework to assess the implementation of remote home care (RHC) a technology-mediated service for home-living patients in the palliative phase of cancer. Furthermore, it aimed to explore areas of particular importance determining the sustainability of technologies for remote palliative home-based care.Methods A secondary analysis of data collected by semi-structured interviews with patients with cancer in the palliative phase, focus groups, and semi-structured interviews with healthcare professionals (HCPs) experienced with RHC was performed. A deductive reflexive thematic analysis using RE-AIM dimensions was conducted.Results Five themes illustrating the five RE-AIM dimensions were identified: (1) Reach: protective actions inrecruitment - gatekeeping, (2) Effectiveness: potential to offer person-centered care, (3) Adoption: balancing high touch with high tech, (4) Implementation: moving towards a common understanding, and (5) Maintenance: adjusting to what really matters. The RE-AIM framework highlighted that RHC implementation for patients in the palliative phase of cancer was influenced by HCP gatekeeping behavior, concerns regarding abandoning palliative care as a high-touch specialty, and a lack of competence in palliative care. Although RHC facilitated improved routines in patients’ daily lives, it was perceived as a static service unable to keep pace with disease progression.Conclusions A person-centered approach that prioritizes individual needs and preferences is necessary for providing optimal care. Although technologies such as RHC are not a panacea, they can be integrated as support for increasingly strained health services.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Assessment
- Health care technology
- Home-based
- Palliative care
- Qualitative
- Reach effectiveness adoption implementation maintenance (RE-AIM) framework
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas