在社区医院实施高效临床途径的障碍和促进因素
Simon M Outram1, Sahar N Rooholamini2, Mansi Desai1
1Department of Pediatrics, University of California, San Francisco, California.
Hospital pediatrics
|September 12, 2023
概括
在社区医院实施多条件临床途径确定了关键障碍和促进者. 本研究将这些挑战映射到针对成功采用和改善患者护理的有针对性的策略中.
科学领域:
- 实施科学 实施科学
- 改善医疗保健质量 改善医疗保健质量
- 临床途径发展发展
背景情况:
- 一个多条件的临床途径干预先前改善了三级儿童医院的护理质量.
- 一项随机试验正在社区医院评估这种干预措施.
- 这项定性研究旨在识别和绘制出这项干预的促进者的障碍.
研究的目的:
- 为了前性地确定社区医院多条件临床途径的实施障碍.
- 利用已建立的实施科学框架,绘制对促进者的识别障碍.
- 在各种医疗保健环境中成功推出多条件途径干预措施.
主要方法:
- 定性研究涉及采访12家美国社区医院的现场领导人.
- 采访指南是使用实施研究综合框架 (CFIH) 设计的.
- 分析采用了持续的比较方法,利用能力,机会,动机,行为 (COMB) 框架绘制了促进者的障碍.
主要成果:
- 与21名参与者的采访揭示了临床医生的看法,好处,障碍,促进者和资源的主题.
- 发现的障碍包括临床医生的时间限制,员工流动,单位间的实践变化和家长的担忧.
- 对障碍物进行映射的促进者包括维护认证学分,教育视频,紧急部门的参与和家长咨询指导.
结论:
- 确定了在社区医院实施多条件临床途径的几个潜在障碍和促进因素.
- 该研究阐述了一个前性过程,用于识别和解决实施促进者的问题.
- 结果为克服采用多条件途径的挑战提供了路线图.
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