培训后使用跨专业决策方法的意图发生变化:一个前后研究集群
Hajar Taqif1,2, Lionel Adisso2,3, Lucas Gomes Souza2,3
1Department of Mathematics and Statistics, Faculty of Science and Engineering, Université Laval, Quebec City, QC, Canada.
BMC health services research
|April 8, 2024
概括
家庭护理团队的专业间共享决策 (IP-SDM) 培训略有降低了采用这种方法的专业意图. 关于能力和社会影响的信念对意图产生了积极的影响,这表明了未来的研究目标.
科学领域:
- 医疗保健管理的管理
- 健康 专业教育 卫生专业教育
- 以患者为中心的护理
背景情况:
- 家庭护理专业人员在跨专业团队中工作,但决策支持培训往往侧重于个人从业者.
- 现有的培训模式可能无法充分解决在家庭环境中基于团队的护理的复杂性.
研究的目的:
- 评估个人培训会对家庭护理专业人员之间的专业间共享决策 (IP-SDM) 的影响.
- 确定影响专业人员采用IP-SDM后培训的意图的因素.
主要方法:
- 一个集群阶段试验的二次分析,具有前后研究设计.
- 收集了来自加拿大北克9个中心134名家庭护理专业人员的数据.
- 参与IP-SDM的意图测量了使用经过验证的规模进行培训前后的培训,并使用双变量和多变量统计数据进行分析.
主要成果:
- 对于IP-SDM的平均意图分数在培训后略有下降 (5.84至5.54,p=0.02).
- 意图的减少不被认为具有临床意义.
- 干预后更高的意图与对能力 (ß=0.49,p<0.01) 和社会影响力 (ß=0.34,p=0.01) 的更强烈信念有关.
结论:
- 面对面的IP-SDM培训导致了家庭护理专业人员参与这种实践的意图略微,可能微不足道地减少.
- 关于自我能力 (能力) 的信念和对其他重要人的看法 (社会影响) 的看法是未来干预的关键目标.
- 未来的研究应该专注于加强这些心理社会因素,以成功地在家庭护理中实施IP-SDM.
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