实施大型,多个地点的医院干预:对开发能力的战略进行现实的评估
Janet C Long1, Natalie Roberts2, Emilie Francis-Auton2
1Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. Janet.long@mq.edu.au.
通过有针对性的战略发展临床能力,提高医疗保健质量. 关键原则包括涉及所有级别的员工,规划轮流,促进跨站点合作,以改善患者护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织心理学 组织心理学
- 改善临床质量 改善临床质量
背景情况:
- 对新南威尔士州卫生区临床改进计划的现实评估.
- 专注于实施策略,以发展医疗保健专业人员在基于价值的护理能力的多站点计划.
- 能力发展对于管理变化和应对医疗保健中意想不到的情况至关重要.
研究的目的:
- 根据现实的评估结果提供实施指南.
- 了解多站点医疗保健计划中背景,机制和结果的相互作用.
- 确定有效的策略,以提高卫生专业人员的临床能力.
主要方法:
- 混合方法现实的评估.
- 使用上下文 (C),机制 (M) 和结果 (O) 框架进行程序理论测试和改进.
- 通过程序文档,现实合成,讨论和关键信息员采访 (n=10) 收集数据.
- 对因果因素的回归性分析.
主要成果:
- 精炼了与相关性,投资,员工流动和全社区优先级相关的程序理论.
- 实施人员的五个指导原则:涉及所有系统层面,支持学习文化,规划员工流动,分配能力和促进跨站点合作.
- 确定了减轻员工流动效应和增强参与度的策略.
结论:
- 临床能力发展是标准化高质量实践的关键策略.
- 领导力支持,管理员工流动和活动相关性促进了新兴的学习文化.
- 从现实的评估中得出的实施准则支持医疗保健机构的有效变革管理.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
相关概念视频
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
