衡量护理最佳实践指南的实施和可持续性的指标:混合方法分析
Laura D Aloisio1, Nicole Graham2, Doris Grinspun3
1Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Heliyon
|October 9, 2023
概括
这项研究确定了在医疗保健机构实施和维持最佳实践指南 (BPG) 的策略和流程. 开发的指标可以帮助组织推广基于证据的实践,并改善患者护理结果.
科学领域:
- 医疗实施科学 医疗实施科学
- 护理最佳实践指南
- 采用基于证据的实践 采用基于证据的做法
背景情况:
- 最佳实践指南 (BPGs) 旨在弥合证据和医疗保健提供之间的差距.
- 对改善医疗保健质量而言,BPG的实施和可持续性至关重要.
- 安大略省注册护士协会 (RNAO) 的BPG在最佳实践聚焦组织 (BPSO) 中得到广泛采用.
研究的目的:
- 确定在BPSO内部实施和维持RNAO BPG的战略和流程.
- 制定指标来评估BPG的实施和可持续性.
- 评估开发的指标的相关性,可行性,可读性和可用性.
主要方法:
- 探索性混合方法研究跨越四个阶段.
- 从叙事报告和采访中对定性数据进行三角分析.
- 战略,流程和指标之间的相关性分析.
- 由专家小组领导的指标开发和通过调查进行验证.
主要成果:
- 确定了46个与BPG实施和可持续性相关的代码,分为八个主题.
- 开发了28个结构,过程或结果指标.
- 经过验证的指标显示,最终用户和BPSO领导人就其相关性和可用性达成一致.
结论:
- 许多策略和流程影响了BPG的实施和可持续性.
- 开发的指标可以支持BPSO在促进基于证据的实践.
- 该研究为增强BPG采用和长期成功提供了一个框架.
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