临床领导力对三国实施进展反的镜头:开发一个多维的定性编码方案
Susan Douglas1, Bram Bovendeerd2,3, Maartje van Sonsbeek4
1Department of Leadership, Policy and Organizations, Vanderbilt University, Peabody College, 230 Appleton Place PMB #414, Nashville, TN, 37203-5721, USA. susan.douglas@vanderbilt.edu.
Administration and policy in mental health
|November 2, 2023
概括
开发一个新的编码方案有助于改善心理健康方面的进展反 (基于测量的护理) 的实施. 该工具识别了障碍和促进者,以加强患者护理和临床决策.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 定性研究方法 定性研究方法
背景情况:
- 进度反或基于测量的护理 (MBC) 对于改善心理健康护理至关重要,但在持续实施方面面临挑战.
- 在患者,临床医生,组织和卫生系统层面存在MBC整合的障碍和促进者.
- 需要一种共同的语言来有效地应对这些实施挑战.
研究的目的:
- 开发一个定性编码方案,以实现进度反.
- 考虑心理健康环境中多个层面的动态障碍和促进者.
- 为研究人员和实施者提供一个工具,以识别和解决实施因素.
主要方法:
- 与国际心理健康组织的临床工作人员,经理和领导人进行了半结构化采访.
- 采访探讨了影响进度反使用的组织内外特征.
- 一个以团队为基础的共识方法改进了一个先验的编码方案,使用一个解释学,二阶轴向编码方法.
主要成果:
- 一个经验性推导的,多层次的定性编码方案被开发出来.
- 该计划包括九个高级类别和30个子类别.
- 为障碍物和促进者建立了情境敏感的类别.
结论:
- 开发的编码方案为进度反实施研究提供了一个标准化的方法.
- 该方案适用于各种背景和设置,具有改进的潜力.
- 这项研究为未来的研究和在心理健康环境中的实际应用提供了指导.
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