哪些因素影响质量改善协作在改善外国出生的妇女的避孕服务? 在瑞典进行了一项定性研究
Ingrid Siösteen-Holmblad1, Elin C Larsson1,2,3, Helena Kilander4,5
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
BMC health services research
|October 11, 2023
概括
质量改善合作社 (QIC) 可以改善外国出生的妇女的避孕服务. 成功因素包括支持性的学习环境,适应能力和明确的项目团队角色,以获得更好的医疗保健结果.
科学领域:
- 生殖健康 生殖健康
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 无法满足的避孕需求和意外怀孕不成比例地影响着高收入国家的外国出生的妇女.
- 质量改进协作机构 (QIC) 被用来增强医疗保健服务,但它们的有效性和影响因素需要进一步调查.
- 关于在各种医疗保健环境中为QICs的成功做出贡献的具体因素的证据有限.
研究的目的:
- 分析影响成功质量改善协作 (QIC) 干预的因素.
- 改善产后护理中的避孕服务,特别是针对瑞典的外国出生的妇女.
- 了解高收入国家环境中QIC的实施过程.
主要方法:
- 基于实施研究综合框架 (CFIR) 的定性,演性研究设计.
- 来自四个QIC学习研讨会的二次数据和来自四个QIC辅导员的初级访谈数据的三角化.
- 在瑞典斯德哥尔摩县进行的一项研究,涉及来自三个妇产保健诊所的助产士 (2018-2019).
主要成果:
- 大多数影响因素是在QIC环境中确定的:干预特征,内部设置和过程.
- 一个积极的学习气候,强调共同创造和相互学习,培养了助产士的反思.
- 适应性,可试验性,以及一个有动力,熟练的项目团队,促进了QIC的应用,尽管最初的角色明确性是一个挑战.
结论:
- 在CFIR框架中,确定了QIC在避孕服务中成功实施的关键因素.
- 建立一个共同创造的,相互学习的环境对于助产士和辅导员至关重要.
- 投资于初始规划和项目团队的形成,以及确保适应性和可测试性,对于QIC的成功至关重要.
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