来自组织上下文调查的发现,以告知协作护理研究对并发性疾病的实施
Sandra K Evans1, Alex Dopp2, Lisa S Meredith2
1RAND Corporation, 1776 Main Street, Santa Monica, CA, 90401, USA. sandra@rand.org.
The journal of behavioral health services & research
|August 3, 2023
概括
初级保健诊所面临的挑战是实施治疗同时出现的物质使用和精神健康障碍的治疗方法. 组织因素,而不是个人因素,是阿片类药物使用障碍协作护理改善的主要领域.
科学领域:
- 实施科学 实施科学
- 初级保健研究研究初级保健研究
- 心理健康服务研究 心理健康服务研究
背景情况:
- 初级保健机构对于治疗同时出现的物质使用和精神健康障碍至关重要.
- 实施障碍往往会阻碍这些环境中的有效治疗.
- 了解组织背景是整合新护理流程的关键.
研究的目的:
- 评估多层次的实施因素,影响在初级保健中与PTSD/抑郁症同时发生的阿片类药物使用障碍 (OUD) 的协作护理.
- 确定组织和个人层面的障碍和促进者来实施新的干预措施.
- 通过分析组织背景,为未来的实施策略提供信息.
主要方法:
- 在实施研究综合框架 (CFIR) 的指导下,对初级保健和行为健康工作人员进行了一项调查.
- 包括13家参加多站点随机对照试验的诊所.
- 323名员工完成了在线调查,回复率为60%.
主要成果:
- 实施障碍主要在组织内部"内部设置"结构中被确定.
- 与员工相关的个人层面构造通常被报告为优势.
- 该研究强调了组织背景在调整协作护理模型中的重要性.
结论:
- 在干预推出之前,组织分析对于预测和解决实施挑战是有价值的.
- 专注于组织层面的因素对于成功整合OUD协作护理至关重要.
- 研究结果为研究人员和临床领导者提供了实际见解,旨在改善综合护理的提供.
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