质量改善 长期护理院COVID-19流行病准备的协作方法:混合方法实施研究
Janice Sorensen1, Laura Kadowaki2,3, Lucy Kervin2,3
1Long-Term Care and Assisted Living, Fraser Health Authority, Surrey, British Columbia, Canada janice.sorensen@fraserhealth.ca.
BMJ open quality
|April 8, 2024
概括
一个虚拟质量改进 (QI) 协作有效地支持长期护理家庭在疫情准备中. 这种方法促进了多学科团队,增强学习,并在COVID-19卫生紧急情况期间改进了流行病应对实践.
科学领域:
- 实施科学 实施科学
- 改善医疗保健质量 改善医疗保健质量
- 传染病的准备 传染病的准备
背景情况:
- COVID-19大流行突显了长期护理 (LTC) 设置中的关键漏洞.
- 有效的流行病准备和应对策略对于LTC家庭至关重要.
- 这项研究考察了一项虚拟质量改进 (QI) 协作,以提高LTC的流行病准备.
研究的目的:
- 评估虚拟QI协作方法在LTC家庭中的可行性和影响.
- 改善与流行病相关的最佳实践的采用,并促进共享学习.
- 确定在LTC中实现虚拟QI的挑战,成功因素和好处.
主要方法:
- 一项混合方法实施科学研究,涉及加拿大不列颠哥伦比亚省的六个LTC家庭.
- 包括居民,护理人员,提供者和领导层在内的QI团队参与了.
- 使用了虚拟促进,共享学习平台,定性访谈和准备调查问卷.
主要成果:
- 九个主题出现了:挑战 (时间限制,外部力量),成功因素 (团队购买,协作,多样化的观点,促进者支持) 和好处 (观察到的改进,员工赋权,变革胃口增加).
- 虚拟QI促进和指导是可行的和可持续的.
- 在虚拟通信平台 (Slack) 上,QI团队成员观察到有限的参与.
结论:
- 虚拟QI协作方法使LTC家庭能够快速形成多学科团队.
- 参与者有效地学习了QI方法,并及时开展了项目,以实施有前途的实践.
- 这种方法支持在长期护理环境中改善COVID-19流行病反应.
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