使用定性方法,通过突出专业人员之间的认知差异来优化协作实践:患者教育的一个例子
Laetitia Ricci1,2, Laetitia Minary2, Joëlle Kivits3
1Epidémiologie Clinique, CHRU-Nancy, INSERM, Université de Lorraine, CIC, Nancy, France.
Journal of interprofessional care
|February 20, 2024
概括
识别健康促进中的非最佳协作需要系统的方法. 这项研究检查了法国治疗患者教育计划,揭示了提供者和协调员之间的微观和宏观层面的不同观点,以及融合的中级洞察力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 专业间医疗保健 专业间医疗保健
- 患者教育计划 患者教育计划
背景情况:
- 有效的健康促进干预依赖于专业间的合作.
- 需要有系统的方法来识别和解决协作挑战.
- 了解利益相关者的观点对于计划的成功和可持续性至关重要.
研究的目的:
- 系统地确定法国治疗患者教育计划中非最佳合作的领域.
- 为了比较医疗保健提供者和临床医生领导者对影响计划结果,参与和可持续性的因素的看法.
- 为优化患者教育计划的运作提出考虑意见.
主要方法:
- 使用七个法国治疗患者教育计划的有目的样本进行定性研究.
- 与14名医疗保健提供者和7名临床主管 (协调员) 进行半结构化个人访谈.
- 在所有参与者中使用的一致的面试指南和主题网格,以便进行比较分析.
主要成果:
- 医疗保健提供者和协调员在微观 (计划交付) 和宏观 (实施,可持续性) 层面报告了不一致的观点.
- 在中级观察到趋同的观点,这表明他们对中间问题有共同的理解.
- 拟议的方法允许在没有"盲点"的情况下全面恢复利益相关者的观点.
结论:
- 优化患者教育计划需要解决微观和宏观层面的不同观点.
- 改善的考虑因素包括有针对性的培训,对评估的反思实践,协作会议交付和对组织需求的明确沟通.
- 该研究方法为卫生系统提供了一种有价值的工具,以全面分析跨专业合作.
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