在五个康复服务中实施最佳实践目标设定:一项混合方法评估研究
Amanda Baker1, Petrea Cornwell2, Louise Gustafsson2
1School of Health Sciences and Social Work, Griffith University, Brisbane; Statewide Rehabilitation Clinical Network, Clinical Excellence Division, Queensland Health, Brisbane; Allied Health, Physiotherapy Department, Sunshine Coast Hospital and Health Service, Queensland Health, Sunshine Coast. amanda.baker4@griffithuni.edu.au.
Journal of rehabilitation medicine
|August 7, 2023
概括
这项研究使用参与式方法改善了康复服务中的临床目标设定. 虽然一些方面表现出成功,但实施变化影响了整体结果,突出了团队集成在目标设定过程中的重要性.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健实施科学 医疗保健实施科学
- 改善临床实践的改善
背景情况:
- 有效的临床目标设定对于成功的康复结果至关重要.
- 目标设定实践的变化可能会阻碍患者的进步和满意度.
- 需要一个结构化的方法来增强临床目标设定的关键元素.
研究的目的:
- 实施和评估一套旨在加强临床实践目标设定的方案.
- 评估实施方案对五个不同的康复服务的影响.
- 识别影响目标设定干预措施在康复环境中的成功因素.
主要方法:
- 采用了以"知识转化为行动"框架为指导的参与式行动研究方法.
- 在实施前和实施后 (12周) 进行了医疗记录审计和结构化客户访谈.
- 数据在基线收集,在实施后立即收集,并在3个月后进行跟踪,以评估持续的影响.
主要成果:
- 两个网站显著改善了共同目标的重点和实现后客户收到目标.
- 四个网站加强了客户行动计划,反和审查流程.
- 虽然在随访时保持了共同目标的重点,但目标设定的具体性在所有地点都下降了.
结论:
- 实施方案在加强临床目标设定过程的具体要素方面取得了成功.
- 实施方案的采用和整合在临床团队中的方式显著影响了结果.
- 需要进一步的研究来优化实施策略,以持续改善目标设定实践.
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