在安大略省妇产新生儿医院单位规划和实施实践变革:二次定性分析
Jessica Reszel1,2,3, Olivia Daub4, Sandra I Dunn5,6,7
1School of Nursing, University of Ottawa, 200 Lees Avenue, Ottawa, ON, K1N 6N5, Canada. jreszel@ohri.ca.
BMC pregnancy and childbirth
|October 17, 2023
概括
产妇新生儿团队使用各种实践变革的实施科学步骤,有机会改善证据整合和患者参与. 需要进一步的支持来加强实施战略.
科学领域:
- 实施科学 实施科学
- 孕产妇和新生儿的医疗保健
- 医疗保健实践变化 改变医疗保健实践
背景情况:
- 在母婴护理中,基于证据的实践并未始终得到一致的应用.
- 实施科学提供了弥合证据与实践差距的方法.
- 了解在母婴新生儿环境中的现实世界实施方法至关重要.
研究的目的:
- 描述产妇新生儿医院团队如何处理实践变革实施.
- 根据实施科学,确定团队和改进领域所采取的实施步骤.
主要方法:
- 对22次与母婴护理领导人进行的采访进行了定性二次分析.
- 使用七步实施路线图框架进行定向内容分析.
- 完成实施步骤的频率计数.
主要成果:
- 团队在7个实施步骤中平均完成了4.5个.
- 识别实践问题是常见的;选择证据和评估不那么频繁.
- 医疗保健人员的参与得到了注意,但患者/家庭的参与是有限的.
结论:
- 在各医院的实施步骤中存在显著的变化.
- 观察到优势,以及需要加强支持的领域.
- 需要资源来帮助提供者应用实施科学原则来实践变革.
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