使用规范化过程理论来评估在专业息性家庭护理中以患者为中心的结果措施的使用 - - 一个定性面试研究
Eva Lehmann-Emele1,2, Maximiliane Jansky3, Sabina Clapham4
1Department of Palliative Medicine, LMU University Hospital, LMU Munich, Munich, Germany. eva.lehmann@med.uni-muenchen.de.
BMC palliative care
|January 3, 2024
概括
研究了以患者为中心的结果措施 (PCOMs) 在息治疗中的采用. 成功实施需要解决持续使用的社会动态和工作环境因素.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 息护理研究 息护理研究
- 实施科学 实施科学
背景情况:
- 以患者为中心的结果指标 (PCOMs) 的标准化使用提高了医疗保健的质量.
- 规范化过程理论 (NPT) 提供了一个框架,通过建立连贯性,认知参与,集体行动和反射监测来理解实施.
研究的目的:
- 通过使用NPT,识别PCOM在专业息家庭护理 (SPHC) 中使用的障碍物和促进因素.
- 收集临床上有意义的数据,以改善患者的治疗结果.
主要方法:
- 定性研究涉及德国SPHC团队中的息护理专业人员的半结构面试.
- 使用框架分析进行数据分析,在NPT中进行上下文化.
主要成果:
- 团队之间对PCOM的理解和好处各不相同,影响了凝聚力建设.
- 管理层的支持和个人参与对于认知参与至关重要.
- 将其纳入实践 (集体行动) 取决于既定的例行程序和初始结构.
- 反射性监测显示了PCOM使用的积极方面 (患者关注) 和消极方面 (工作量).
结论:
- 尽管有公认的好处,但并非所有团队都持续使用标准化的PCOM,这突出了社会动态和工作环境的影响.
- 未来的战略应该将PCOM整合到电子记录中,提供教育,利用当地冠军,并确保定期进行数据分析以提高采用率.
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