使用PDSA循环在初级保健机构实施自杀预防协议的原型:一种混合方法研究
Nadia Minian1,2,3,4,5, Allison Gayapersad1, Adina Coroiu1
1INTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Frontiers in psychiatry
|February 9, 2024
概括
在初级保健中将自杀预防纳入戒烟计划是可行的. 网络研讨会和信息图表等关键策略克服了障碍,使风险高的吸烟者更容易获得自杀查.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 自杀是加拿大的重大公共卫生问题,许多死者最近与初级保健接触.
- 吸烟者面临较高的自杀风险,由于共同发生的条件和社会决定因素,突出了初级保健在预防中的潜在作用.
研究的目的:
- 确定在初级保健中将自杀预防纳入戒烟计划中的障碍和促进因素.
- 开发和测试在安大略省初级保健机构实施自杀查和评估的策略.
主要方法:
- 使用了三阶段的顺序混合方法设计,包括采访,共识讨论和计划-做-研究-行动周期.
- 实施研究的综合框架和实施变革工具的专家建议指导了这一过程.
主要成果:
- 医疗保健提供者认为缺乏培训和教育材料是关键障碍.
- 一个网络研讨会,关于抑郁症问题的序言和一个信息图表被认可并测试为可接受和可行的实施策略.
结论:
- 尽管存在实施障碍,但自杀预防方案可以成功地融入初级保健戒烟计划中.
- 经过测试的策略为提高初级保健机构的自杀查和评估提供了实际解决方案.
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