确定支持在全科医院提供特殊护理的因素和IDEAL框架的开发:质量研究
Roisin O'Malley1, Sinéad Lydon2, Aileen Faherty1
1Discipline of General Practice, University of Galway, Galway, Ireland.
Qualitative health research
|September 11, 2023
概括
积极偏差方法在一般实践中识别出特殊的护理因素. 这项研究通过探索患者和工作人员的感知来完善IDEAL框架,提高对高质量的患者护理服务的理解.
科学领域:
- 提高质量 提高质量
- 医疗保健管理的管理
- 以患者为中心的护理
背景情况:
- 积极偏差方法识别出高绩效者从他们的成功中吸取教训.
- 在一般实践中,质量改进越来越多地使用正偏差策略.
- 了解特殊护理的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 探索和比较利益相关者对支持一般实践中特殊护理的因素的看法.
- 完善"识别和传播卓越的学习成果" (IDEAL) 框架.
- 发展对在初级保健机构提供特殊护理的全面理解.
主要方法:
- 对33名爱尔兰全科医院的患者,全科医生,实践护士和实践经理进行了半结构化采访.
- 使用IDEAL框架进行演分析的员工指导内容分析.
- 对于新出现的因素,使用了归纳分析,将其整合到框架中.
主要成果:
- 确定了支持特殊护理的策略 (患者激活,团队协作),结构 (设施,人员) 和上下文因素 (沟通,文化).
- 揭示了患者和实践人员之间的不同看法,价值观和期望.
- 验证并扩展了IDEAL框架,增加了设施和基础设施等新因素.
结论:
- 利益相关方的参与完善了IDEAL框架,提供了对一般实践中的特殊护理更全面的看法.
- 增强的IDEAL框架可以指导研究人员,政策制定者和团队实现高质量的患者护理.
- 这项研究有助于更深入地了解如何系统地支持和衡量初级保健中的特殊护理.
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