实施实施研究综合框架的运行,以建立和支持直接提供医疗服务的体验劳动力
Alayna Carrandi1,2, Yanan Hu1,3, Katherine McGill1,4,5,6
1Social Work, School of Health, University of New England, Armidale, Australia.
概括
生活经验 (LEX) 工作人员对于综合卫生服务至关重要,但往往感到被低估. 这项研究调整了一个框架,以更好地支持和整合LEX员工,增强他们对医疗保健服务的贡献.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 患者和公众参与.
背景情况:
- 生活经验 (LEX) 工作人员越来越多地参与综合卫生服务,以改善参与和结果.
- 然而,LEX员工报告说,他们感到被低估,影响力有限,需要在他们的参与和支持方面进行系统改进.
- 确保LEX工作人员对综合护理系统的有效贡献至关重要.
研究的目的:
- 为寻求建立和加强其LEX工作人员的卫生服务提供实施研究综合框架 (CFIR) 的运作.
- 通过严格的范围审查和共同创建过程来调整CFIR.
- 提供一个框架,澄清支持LEX角色集成的上下文组件.
主要方法:
- 在四个数据库的系统文献搜索中,确定了关于LEX员工纳入直接医疗服务的同行评审研究 (2016-2022年).
- 一种描述分析方法将LEX工人的现有证据映射到CFIR中.
- 与LEX员工和非同行员工的共同创作会议完善了LEX参与的结构性政策和战略.
主要成果:
- 成功整合LEX角色需要在实施之前与具有实践经验的个人共同创建流程.
- 在组织结构中加强LEX员工的代表性是成功整合的关键组成部分.
- 对LEX工作人员的调整CFIR (CFIR-LEX) 澄清了整合LEX角色的基本上下文元素.
结论:
- 开发的CFIR-LEX为整合LEX角色在综合卫生服务的开发,设计和提供提供提供了明确的框架.
- 需要进一步努力,以使CFIR-LEX在当地环境中运行,并了解其正在进行的应用.
- 共同创作过程确保了该框架对LEX员工的相关性和实用性.
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