开发一套干预方案,以优化万科米辛治疗的管理,使用基于理论的共同设计
M L Avent1, W Franks2, A Redmond3
1Queensland Statewide Antimicrobial Stewardship Program, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; The University of Queensland, UQ Centre for Clinical Research, Herston, Queensland, Australia.
Research in social & administrative pharmacy : RSAP
|February 16, 2024
概括
通过共同设计的干预措施优化万科米辛治疗改善了临床管理. 这种以理论为基础的方法,使用理论领域框架 (TDF),在昆士兰州的医院中增强了万科米辛的使用.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 尽管有指导方针,但万科米辛的低最佳管理仍然存在,影响患者的死亡率和发病率.
- 早期达到目标治疗度对于万科米辛的有效性至关重要.
研究的目的:
- 开发和实施干预措施,以优化万科米辛治疗管理.
- 利用共同设计过程,创建一个基于理论的干预方案.
主要方法:
- 一项多种方法研究,涉及基线审计,利益相关者采访和映射到理论领域框架 (TDF).
- 共同设计会议优先考虑行为修饰因素和实施策略.
- 在四个教学医院和随后的昆士兰卫生部实施了干预方案.
主要成果:
- 临床医生倾向于多方面的,针对学科的干预措施和培训,以改善准则的遵守.
- 共同设计过程产生了一个基于理论的干预方案.
- 干预策略显示使用频率和受欢迎程度的变化.
结论:
- 基于理论的参与式方法促进了与利益相关者的优先事项相一致的干预开发.
- 理论领域框架 (TDF) 提供了一个结构化的方法,用于创建可接受和有用的干预内容.
- 这种方法显示了改善万科米辛管理的潜力.
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