将共同创造付诸实践:从开发助产士主导的质量改善干预中吸取的经验教训
Johanna Blomgren1, Michael B Wells1, Kerstin Erlandsson1,2
1Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Global health action
|November 6, 2023
概括
共同创建助产士主导的质量改进计划可以弥合产妇护理中的证据与实践差距. 本研究概述了开发相关的,助产士驱动的干预措施的实际过程,以加强对母亲和新生儿的护理.
科学领域:
- 孕产妇和新生儿的健康
- 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:
- 在将基于证据的助产士实践纳入产妇护理方面存在一个证据与实践的差距.
- 共同创建的,助产士领导的质量改善计划可以提高医疗保健的质量和干预的相关性.
- 共同创建助产士领导的质量改善干预措施的科学探索是有限的.
研究的目的:
- 描述助产士领导的质量改善干预的共同创作过程.
- 探索影响这些干预措施的需求和决定因素.
- 针对以证据为基础的助产士实践的改进.
主要方法:
- 一种使用"推进实施科学综合框架"的定性演方法.
- 通过采访,焦点小组,观察和研讨会收集数据.
- 包括各种各样的利益相关者:新母亲,分娩伴侣,助产士,政策制定者和医生.
主要成果:
- 共同创作过程涉及四个阶段,建立助产士冠军和培训培训师的方法.
- 确定的需求包括知识/技能差距和资源限制,但对于助产士主导的倡议具有很强的相关性和协调性.
- 改进的优先事项包括产后支持,出生位置和围保护,受利益关方的意见影响.
结论:
- 这项研究为共同创建助产士主导的质量改进干预提供了一个实用的模型.
- 描述的过程可以适应各种产妇护理环境.
- 共同创造确保了干预措施的相关性,并有效地弥合了证据与实践之间的差距.
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