与跨壁创伤护理模型的升级相关的障碍和促进者:定性研究
Julia Ratter1, Suzanne Wiertsema2, Ilham Ettahiri3
1Amsterdam UMC, location AMC, Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, The Netherlands. j.ratter@amsterdamumc.nl.
升级跨壁创伤护理模型 (TTCM) 需要财政支持和参与的"关键参与者". 成功的结果各不相同,突出了有效的创伤康复需要组织承诺和提高工作满意度的必要性.
科学领域:
- 医疗保健管理的管理
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 评估跨壁创伤护理模型 (TTCM) 升级的障碍和促进因素.
- TTCM是一种多学科,以患者为中心的跨壁康复护理模式.
- 该试验以NL8163.3号注册.
研究的目的:
- 识别和分析影响TTCM成功实施和扩展的因素.
- 了解参与创伤康复的各种利益相关者的观点.
- 为优化TTCM升级提供建议.
主要方法:
- 与32名参与者进行半结构面试 (创伤外科医生,医院和初级保健理疗师,创伤患者).
- 使用基于"星座方法"的框架方法进行文字转录和分析.
- 障碍物和促进者分为结构,文化和实践.
主要成果:
- 在结构 (财务,沟通,资源,法规,组织),文化 (承诺,工作满意度,团队合作,护理质量,患者经验) 和实践 (门诊问题,获得的知识) 中确定了主题.
- 在不同的环境中,TTCM升级的成功程度有很大差异.
- 关键的先决条件包括强大的财务支持和有影响力的"关键参与者",这些"关键参与者"是由变革的紧迫性或工作满意度的提高所推动的.
结论:
- 成功扩大TTCM的规模取决于足够的财务资源.
- 有动机的"关键参与者"的存在对于推动TTCM的采用和成功至关重要.
- 组织文化和实际实施因素对TTCM可扩展性产生重大影响.
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