在青少年部分医院环境中实施基于测量的护理:利用可持续性的反
Jill Donelan1,2, Susan Douglas3, Ariane Willson3
1Department of Psychiatry Baystate Health, Springfield, MA, USA. jill.donelan@mirah.com.
Administration and policy in mental health
|April 4, 2024
概括
在青年部分住院计划 (PHP) 中实施基于测量的护理 (MBC) 改善了结果. 本案例研究详细介绍了将患者报告的数据整合到儿科行为健康服务的临床决策中的成功策略.
科学领域:
- 儿童和青少年精神病学
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
背景情况:
- 基于测量的护理 (MBC) 使用患者报告的结果来指导临床决策,增强行为健康治疗.
- 部分住院计划 (PHP) 为年轻人提供密集护理,但面临着MBC的实施挑战.
- 成功地将MBC整合到青少年PHP环境中,对于提高治疗疗效至关重要.
研究的目的:
- 描述基于测量的护理 (MBC) 在青年部分住院计划 (PHP) 中的成功实施情况.
- 确定在现实临床环境中在MBC实施过程中遇到的障碍和促进因素.
- 探索数据驱动决策对青年PHP中的组织弹性的影响.
主要方法:
- 一个为期18个月的MBC实施的案例研究,在一个为633名患者 (5-18岁) 服务的青少年PHP中进行.
- 包括每日患者自我报告和每周护理人员报告的测量.
- 数据利用,障碍,促进者和不断发展的战略的描述性重建.
主要成果:
- 成功将MBC整合到一个青年PHP中,涉及大约20名跨学科的员工.
- 确定工作流,领导,监督和指导的关键实施策略.
- 展示数据驱动护理的实际考虑和潜在的组织效益.
结论:
- 在青少年PHP环境中,MBC可以成功地实施,改善临床决策.
- 解决工作流,领导和指导对于有效的MBC集成至关重要.
- 数据驱动的MBC模型可能会在儿科行为医疗保健中培养有弹性的组织.
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