在实施阶段,可用资源和实施气候之间的动态相互作用:对VA国家人口健康工具的定性研究
Ying-Jen Lin1, Allison Ranusch2, F Jacob Seagull1
1Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, USA.
组织资源对于干预成功至关重要,并通过实施阶段演变. 根据不同阶段的用户需求量身定制支持,如技术和社会援助,可以确保持续的影响.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 组织行为 组织行为
背景情况:
- 组织资源显著影响干预实施成功.
- 关于资源需求在实施阶段的变化情况的研究有限.
- 本研究研究了在实施和维持人口健康工具期间的资源动态.
研究的目的:
- 调查可用资源的不断变化的性质及其与实施气候的相互作用.
- 了解资源可用性如何影响不同实施阶段的干预成功.
- 在实施和维持阶段确定特定的资源需求.
主要方法:
- 对17个临床场所的20名抗凝血专业人员的采访进行了二次分析.
- 利用了实施研究综合框架 (CFIR) 和VA QUERI路线图阶段的构造.
- 分析了资源和实施气候的同时发生模式,使用CFIR系统对声明进行评分.
主要成果:
- 干预措施的资源需求是动态的,在实施阶段的数量和类型变化.
- 增加资源并不能自动保证持续的干预成功;需要不断发展的支持.
- 技术和社会/情感支持对于实施期间的信任至关重要,而协作资源则有助于维持.
结论:
- 可用资源及其对实施气候的影响在干预阶段是动态的.
- 了解用户对资源动态的看法,可以实现适应性资源配置.
- 随着时间的推移,根据利益相关者的需求调整资源对于成功和持续的干预实施至关重要.
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