使用能力,机会和动机行为模型来评估提供者对实施以解决方案为中心的目标设定在儿科康复中实施解决方案的看法
L Crawford1, H Colquhoun2,3, S Kingsnorth2,3,4
1School of Rehabilitation Science, Queen's University, Kingston, ON, Canada.
概括
在儿科康复中,以解决方案为重点的辅导 (SFC) 是家庭目标设定的关键,但医疗保健提供者 (HCP) 面临着实施挑战. 障碍包括技能差距,缺乏经验以及客户准备和组织支持不足.
科学领域:
- 儿科康复儿童康复中心
- 医疗保健提供者的行为 医疗保健提供者的行为
- 行为改变模型 行为改变模型
背景情况:
- 家庭和儿童的目标设定对于儿科康复的长期积极结果至关重要.
- 解决方案为中心的辅导 (SFC) 是一个有前途的目标设定方法,但医疗保健提供者 (HCP) 的实施率很低.
- 了解医疗保健人员对SFC的看法对于解决实施障碍至关重要.
研究的目的:
- 识别医疗保健工作人员在儿科康复中对SFC目标设定的感知优势和困难.
- 利用能力,机会和动机 (COM-B) 模型来分析这些感知.
- 为改善SFC实施的干预措施的发展提供信息.
主要方法:
- 基于COM-B子组件开发了一个自我报告调查.
- 该调查对儿科康复医院的医疗保健工作者进行了调查.
- 使用描述性统计数据来对被认为的COM-B组件进行排名.
主要成果:
- 医疗保健人员认识到SFC目标设定的重要性.
- 发现的关键困难包括:缺乏个人技能,经验不足,客户对目标共享的准备不足,以及组织支持有限.
- 感知到的障碍物根据COM-B组件进行排名.
结论:
- 医疗保健人员承认SFC的价值,但面临着实际实施的挑战.
- 干预措施应涉及个人医疗人员的技能,客户的准备和组织支持系统.
- 需要有针对性的战略来加强SFC在儿科康复中的采用.
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