在儿科耳鼻门诊所实施健康素养实践的障碍和促进因素:混合方法研究
Carol J Howe1, Brennan Lewis, Shelby Edmondson
1Author Affiliations: Harris College of Nursing & Health Sciences, Texas Christian University, Fort Worth (Dr Howe); Department of Nursing, Children's Health, Dallas, Texas (Dr Lewis); and Medical School, The University of Texas Southwestern Medical Center, Dallas (Ms Edmondson).
临床医生面临的障碍,采取健康素养实践,如教回由于时间限制. 领导层的参与可以促进实施,通过更好的健康素养来改善患者的结果.
科学领域:
- 医疗实施科学 医疗实施科学
- 患者沟通策略 患者沟通策略
- 卫生公平研究 卫生公平研究
背景情况:
- 临床医生采用健康素养实践,尽管已证明对患者有好处,但仍然缓慢.
- 了解实施促进者和障碍对有效的医疗保健干预至关重要.
研究的目的:
- 确定有助于或阻碍将健康素养实践纳入常规临床护理的因素.
- 探索利益相关者对实施回教方法的看法.
主要方法:
- 调查评估了利益相关者对反教的接受度,适当性,可行性,信念和信心 (N=40).
- 采访分析使用实施研究综合框架 (CFIR) (n=12).
- 使用了CFIR-ERIC实施战略匹配工具.
主要成果:
- 报告的接受度,适当性和可行性很高,但对使用回教的信心很低.
- 关键的促进因素包括领导层的参与和感知相对优势.
- 障碍主要集中在兼容性问题上,主要是时间和工作流的限制.
结论:
- CFIR框架和CFIR-ERIC匹配战略工具有助于选择有针对性的实施策略.
- 这些工具支持成功采用和持续使用健康素养实践.
- 解决工作流的兼容性对于克服实施障碍至关重要.
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