使用混合方法方法来评估卢旺达一组产前护理试验的实施忠实性
Kalee Singh1, Nathalie Murindahabi2, Elizabeth Butrick3
1University of California Berkeley School of Public Health, Berkeley, California, United States of America.
PloS one
|July 24, 2023
概括
随着时间的推移,组产前护理 (组ANC) 的实施忠实性得到了改善,持续监测和指导对于在医疗机构中保持"软技能"至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 实施科学 实施科学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 卢旺达的早产倡议 (PTBi) 评估了组产前护理 (ANC组) 对早产的影响.
- 之前的研究表明实施忠实度高,但缺乏提供商自我评估的相关性.
- 这项研究使用混合方法来评估卢旺达的ANC集团实施忠诚度.
研究的目的:
- 评估18个卢旺达医疗中心集团ANC实施的忠实性.
- 使用混合方法方法识别影响实施忠实性的因素.
- 为了将定量忠诚度指标与提供商的定性反相关联.
主要方法:
- 使用模型忠实性评估 (MFA) 和主教练活动报告 (AR) 来测量实施忠实性.
- 定量分析涉及MFA得分的线性回归与实施开始以来的时间相比.
- 定性分析使用了从最高和最低忠实期的ARs的主题分析.
主要成果:
- 在过去的时间和实施忠实度 (MFA分数) 之间发现了显著的积极关联.
- 主教练确定了提高忠诚度的关键领域:日程安排,房间准备,共同促进技能和内容知识.
- 监测访问对于获取和维护这些信息至关重要.
- 软技能是一种软技能.
- 对于ANC组所要求的.
结论:
- 建议对需要干预的干预进行持续监测和指导.
- 软技能是一种软技能.
- ,例如ANC.组等.
- 结合定量和定性工具,可以全面了解实施忠实度.
- 有针对性的支持和指导对于有效地将基于证据的干预措施转化为实践至关重要.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.9K
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
2.3K
相关概念视频
Study Designs in Epidemiology
273
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
273
Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Principles of Disease Surveillance
124
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
124
Nursing Implementation
5.1K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.1K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
