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Additional file 1. Semi-structured interview guide for interviews with health care providers

Additional file 2: Supplementary file 2. Interview guide patients.

Additional file 1: Supplementary file 1. Interview guide nurses.

Additional file 1. InvolveMe Interview guide

Electronic health (eHealth) interventions have shown promising results in optimizing self-management and care for patients. eHealth offers a large range of solutions to be used by the patient, nurses and other health professionals when providing care and follow-up for patients, families, and communities. Nurses, as the largest group of health care providers, have a responsibility in the development, research and implementation of eHealth interventions. The aim of this article is to describe methods, frameworks and models for development and testing of eHealth interventions, including security and privacy considerations and methods for implementation into the health care service. To succeed with development, testing and implementation of eHealth interventions, the following steps could be addressed: 1) base the intervention on existing evidence when available, 2) include all relevant stakeholders in the development phase, 3) develop a business model at project start and plan for implementation, 4) establish usability, acceptability, compliance, and delivery of the intervention through a feasibility pilot prior to larger studies, 5) test for intervention effect by using an appropriate study design and perform process- and economic evaluation to supplement findings, and 6) use appropriate implementation strategies to implement efficient interventions and evaluate the implementation. RESUMEN Las intervenciones de salud electrónica (eSalud o eHealth) han mostrado resultados prometedores en la optimización de la autogestión y el cuidado de los pacientes. La eSalud ofrece una amplia variedad de soluciones para ser utilizadas por el paciente, enfermeros y enfermeras; y otros profesionales de la salud a la hora de proporcionar atención y seguimiento a los pacientes, las familias y las comunidades. Los enfermeros y las enfermeras, como el grupo más numeroso de proveedores de atención de salud, son responsables del desarrollo, la investigación y la aplicación de las intervenciones en materia de salud electrónica. El objetivo de este artículo es describir los métodos, marcos de referencia y modelos para desarrollar y probar las intervenciones de salud electrónica, incluyendo las consideraciones de seguridad y privacidad y los métodos para su aplicación en la atención de salud. Para tener éxito en el desarrollo, prueba e implementación de las intervenciones de e-Salud se podrían considerar los siguientes pasos: 1) basar la intervención en la evidencia existente cuando esté disponible, 2) incluir a todas las partes interesadas en la fase de desarrollo, 3) desarrollar un modelo de negocio al inicio del proyecto y planificar la implementación, 4) establecer la usabilidad, aceptabilidad, cumplimiento y entrega de la intervención a través de una prueba piloto de factibilidad antes de realizar estudios de mayor alcance, 5) probar el efecto de la intervención mediante el uso de un diseño de estudio apropiado y llevar a cabo una evaluación económica y de proceso para complementar los hallazgos y 6) utilizar estrategias de implementación adecuadas para implementar intervenciones eficientes y evaluar la implementación. RESUMO As intervenções de saúde eletrônica (eSaúde ou eHealth) mostraram resultados promissores na optimização do autogerenciamento e do cuidado aos pacientes. A eSaúde oferece uma amplia variedade de soluções a serem usados pelo paciente, enfermeiros e enfermeiras; e outros profissionais da saúde na prestação de cuidados e acompanhamento a pacientes, famílias e comunidades. Os enfermeiros e as enfermeiras, como o maior grupo de prestadores da atenção de saúde, são responsáveis do desenvolvimento, pesquisa e aplicação das intervenções eletrônicas em saúde. O objetivo deste artigo é descrever os métodos, quadros de referência e modelos para o desenvolvimento e teste das intervenções eletrônicas de saúde, incluindo as considerações de segurança e privacidade e métodos para sua aplicação na atenção da saúde. Para ter sucesso no desenvolvimento, teste e implementação das intervenções do eSaúde, as seguintes etapas podem ser consideradas: 1) basear a intervenção na evidência existente, quando estiver disponível, 2) incluir todas as partes interessadas na fase de desenvolvimento, 3) desenvolver um modelo de negócios no início do projeto e planejar a implementação, 4) estabelecer a usabilidade, aceitabilidade, conformidade e entrega da intervenção através de um teste piloto de factibilidade antes de realizar estudos maiores, 5) testar o efeito da intervenção através do uso de um desenho apropriado e realizar uma avaliação econômica e de processo para complementar as descobertas e 6) utilizar estratégias de implementação apropriadas para a implementação de intervenções eficientes e avaliar a implementação.

We study the algebraic combinatorics of monomial degenerations of Plücker forms which is governed by matching fields in the sense of Sturmfels and Zelevinsky. We provide a necessary condition for a matching field to yield a SAGBI basis of the Plücker algebra for 3-planes in n-space. When the ideal associated to the matching field is quadratically generated this condition is both necessary and sufficient. Finally, we describe a family of matching fields, called 2-block diagonal, whose ideals are quadratically generated. These matching fields produce a new family of toric degenerations of Gr(3,n).Background: Disease-related malnutrition is a challenge among hospitalized patients. Despite guidelines and recommendations for prevention and treatment, the condition continues to be prevalent. The MyFood system is a recently developed decision support system to prevent and treat disease-related malnutrition. Objective: To investigate the possible implementation of the MyFood system in clinical practice, the aims of the study were (1) to identify current practice, routines, barriers, and facilitators of nutritional care; (2) to identify potential barriers and facilitators for the use of MyFood; and (3) to identify the key aspects of an implementation plan. Methods: A qualitative study was performed among nurses, physicians, registered dietitians, and middle managers in 2 departments in a university hospital in Norway. Focus group discussions and semistructured interviews were used to collect data. The Consolidated Framework for Implementation Research (CFIR) was used to create the interview guide and analyze the results. The transcripts were analyzed using a thematic analysis. Results: A total of 27 health care professionals participated in the interviews and focus groups, including nurses (n=20), physicians (n=2), registered dietitians (n=2), and middle managers (n=3). The data were analyzed within 22 of the 39 CFIR constructs. Using the 5 CFIR domains as themes, we obtained the following results: (1) Intervention characteristics: MyFood was perceived to have a relative advantage of being more trustworthy, systematic, and motivational and providing increased awareness of nutritional treatment compared with the current practice. Its lack of communication with the existing digital systems was perceived as a potential barrier; (2) Outer settings: patients from different cultural backgrounds with language barriers and of older age were potential barriers for the use of the MyFood system; (3) Inner settings: no culture for specific routines or systems related to nutritional care existed in the departments. However, tension for change regarding screening for malnutrition risk, monitoring and nutritional treatment was highlighted in all categories of interviewees; (4) Characteristics of the individuals: positive attitudes toward MyFood were present among the majority of the interviewees, and they expressed self-efficacy toward the perceived use of MyFood; (5) Process: providing sufficient information to everyone in the department was highlighted as key to the success of the implementation. The involvement of opinion leaders, implementation leaders, and champions was also suggested for the implementation plan. Conclusions: This study identified several challenges in the nutritional care of hospitalized patients at risk of malnutrition and deviations from recommendations and guidelines. The MyFood system was perceived as being more precise, trustworthy, and motivational than the current practice. However, several potential barriers were identified. The assessment of the current situation and the identification of perceived barriers and facilitators will be used in planning an implementation and effect study, including the creation of an implementation plan.