在实施旨在减少在心理健康环境中的正式胁迫的计划中的模型,框架和理论:系统性审查
Tella Lantta1,2, Joy Duxbury2, Alina Haines-Delmont2
1Department of Nursing Science, University of Turku, Turku, Finland.
Frontiers in psychiatry
|July 3, 2023
概括
实施科学工具很少在心理健康强制减少计划中使用. 需要更多的研究来了解有效的实施策略和相关成本.
科学领域:
- 医疗保健创新实施 医疗保健创新实施
- 心理健康服务研究 心理健康服务研究
- 减少胁迫策略的策略
背景情况:
- 实施模型和理论 (工具) 有助于理解医疗保健创新采用.
- 精神卫生机构的强制减少计划面临实施挑战.
- 关于在这个领域应用实施科学的知识有限.
研究的目的:
- 确定用于减少在心理健康方面的正式胁迫研究中的实施工具.
- 确定这些研究中报告的实施结果.
主要方法:
- 在多个数据库 (PubMed,CINAHL,PsycINFO,Cochrane,Scopus,Web of Science) 进行系统的文献搜索.
- 手动搜索和使用MMAT混合方法评估工具进行质量评估.
- 按照PRISMA指南进行描述和叙述合成.
主要成果:
- 包括八项研究,确定了八种不同的实施工具.
- 接受性和适应性是最常见的结果 (分别为4/8和3/8的研究).
- 没有研究报告了实施成本;整体研究质量很低.
结论:
- 系统实施工具在心理健康护理中的强制减少干预中未得到充分利用.
- 需要更高质量的研究,包括服务用户和护理人员的观点.
- 使用实施工具实施复杂干预措施的成本和资源尚不清楚.
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