职业治疗师的实施策略,以推动目标设定和目标管理
Eunyoung Kang1, Julie Chen1, Erin R Foster2
1Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, United States.
Frontiers in health services
|June 23, 2023
概括
"我的目标"实施策略对于社区康复中的职业治疗师来说是可接受的,适当的和可行的. 这些策略支持为患有慢性疾病的成年人制定目标和管理,增强基于证据的实践整合.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 需要有效的,基于证据的系统来支持高质量的目标设定和管理.
- MyGoals系统及其实施策略是为基于社区的康复开发的.
- 本研究评估了职业治疗师 (OT) 临床医师教育和审计和反实施策略的可接受性,适当性和可行性.
研究的目的:
- 评估MyGoals实施战略的可接受性,适当性和可行性.
- 为了确定OT是否实现了MyGoals实施战略变革目标.
- 为了评估外教人员之间的MyGoals干预忠诚度.
主要方法:
- 采用混合方法的案例系列设计.
- 七个OT参加了临床医生教育和审计和反会议,提供了MyGoals干预.
- 数据收集包括干预措施的可接受性 (AIM),干预适当性措施 (IAM),干预措施的可行性 (FIM) 和半结构面试.
主要成果:
- 实施策略在可接受性 (AIM),适当性 (IAM) 和可行性 (FIM) 方面显示出高分.
- 机关培训机构报告了变革目标的高实现率和干预忠实度.
- 定性反确定了临床医生教育的时间承诺是障碍,并提出了改进建议,例如录制的会议.
结论:
- "我的目标"的实施策略是可接受的,适当的,并且可行,用于社区康复中的OTs.
- 这些战略有效地支持OTs实现目标,以实现完整而有能力的MyGoals交付.
- 调查结果表明,MyGoals策略可以改善基于证据的,以客户为中心的目标设定和管理在患有慢性疾病的成年人实践中的整合.
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