Implementing SAFE™ care: Evaluation of a geriatric model of care for real-world practice.
Geriatr Nurs
; 42(1): 167-172, 2021.
Article
en En
| MEDLINE
| ID: mdl-33039198
ABSTRACT
Systems Addressing Frail Elders (SAFETM) Care is a geriatric model of care that identifies high-risk hospitalized older adults, and provides targeted interprofessional interventions for risk factors associated with frailty. This post, mixed methods study sought to evaluate SAFETM Care implementation retrospectively at one public academic medical center and describe practical "real-world" considerations for implementation using the Consolidated Framework for Implementation Research (CFIR). In addition to barriers and facilitators, hidden characteristics to consider for implementation include initiating conditions, skills and experiences of implementers, interpersonal challenges, unique facilitators and barriers, surprising conditions, and threats to and requirements for sustainability. Implementation of SAFETM Care demonstrated effective adoption and implementation, but faced multiple threats that led to failed sustainability. The public sharing of these successes and failures will help implementers understand and make progress in adapting such important geriatric programs and quality improvement initiatives.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Mejoramiento de la Calidad
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Fragilidad
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Enfermería Geriátrica
Tipo de estudio:
Evaluation_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Aged
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Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article