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将动机面试应用于小组:通过对临床专业人员进行小组访问,教导预先护理规划

Monica M Matthieu¹, Ciara M Oliver², Gissa I Hernandez³

¹US Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR&D Center of Innovation: Center for Mental Healthcare & Outcomes Research, Little Rock, AR, USA; Saint Louis University, School of Social Work, Saint Louis, MO, USA.

Patient education and counseling

|December 27, 2023

概括

通过集体访问 (ACP-GV) 提前护理计划 (ACP) 赋予退伍军人和护理人员权力. 这种以患者为中心的方法利用动机面试 (MI) 技术来促进关于医疗保健偏好的关键对话.

科学领域:

医疗保健干预措施医疗保健干预措施
患者为中心的护理
行为科学是一种行为科学.

背景情况:

通过团体访问 (ACP-GV) 进行预先护理规划 (ACP) 是VA医疗保健系统中的一个创新的干预措施.
该计划旨在将ACP扩展到农村地区的退伍军人和护理人员.
临床医生接受了ACP-GV的专业培训,包括激励面试 (MI) 的原则.

研究的目的:

描述ACP-GV干预中促进者使用的特定动机面试 (MI) 技术.
提供MI技术如何在小组讨论中应用的例子.
提供一个脚本案例,用于培训临床医生在MI-一致的ACP-GV促进.

主要方法:

该研究的重点是描述在ACP-GV组设置中MI技术的应用.
在小组讨论中提供MI技术应用的示例.
一个编写的,编码的ACP-GV的MI-concordant会议呈现.

主要成果:

促进者利用特定的MI技术来指导在ACP-GV期间的小组讨论.
该研究提供了MI在这个小组模式中的实践实例.
一个案例示例展示了一个MI一致的ACP-GV会话.

结论:

激励面试 (MI) 是提供高质量的ACP-GV.
ACP-GV是一个以患者为中心的干预,有利于退伍军人,护理人员及其信任的人.
这些发现支持使用ACP-GV,并为临床医师培训提供资源.

关键词:

提前护理计划提前护理计划预先指令预先指令集团集团集团集团集团集团激励性采访激励性采访农村农村农村农村退伍军人退伍军人退伍军人

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