临床护士领导者实施成功的预测因素在全国范围内的设置样本:贝叶斯的多层次建模分析
Marjory Williams1, John David Coppin1, Miriam Bender2
1Central Texas Veterans Health System, Temple, Texas, USA.
概括
临床护士领导者 (CNL) 模型
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 组织行为 组织行为
背景情况:
- 临床护士领导者 (CNL) 护理模式是一个不断发展的前线护理交付系统,实施和结果各不相同.
- 一个经过验证的CNL实践模型为将CNL的作用纳入医疗保健系统提供了一个框架.
研究的目的:
- 识别和比较遵守CNL实践模型的模式.
- 预测这些模式对CNL实施成功的影响.
主要方法:
- 一项涉及920名参与者的全国性研究的二次分析.
- 使用了经过心理测量验证的CNL实践调查评估五个领域.
- 采用贝叶斯的多级回归与零-一个膨胀的β分布来模型实现成功.
主要成果:
- 贝叶斯多层次建模成功分析了层次数据,适应了扭曲的成功评级.
- 成功分数的变化在组件层面是最高的.
- 成功的关键预测因素包括对CNL模型的好处的共识,组织实施策略和CNL结构与模型的调整.
结论:
- 经验证据支持CNL实践模型的解释途径.
- 具体的组织准备和CNL工作流结构对于成功的CNL实践和结果至关重要.
- 结果为改善CNL实施提供了可操作的见解,以提高患者护理质量和安全.
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