使用"理论领域框架:对提供者的调查"来探索参与住院患者跌倒风险评估的态度障碍

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Emily L Carter¹, Sarah A M Hallen¹, Gavin W Welch²

¹Division of Geriatric Medicine Maine Medical Center Portland Maine USA.

Health science reports

|April 12, 2024

概括

提供者参与跌倒风险评估对于预防患者跌倒至关重要. 许多医疗保健提供者承认其重要性,但面临诸如缺乏培训和竞争优先事项等障碍,阻碍有效实施.

科学领域:

改善医疗保健质量改善医疗保健质量
患者安全研究的研究.
临床实践的障碍临床实践的障碍

背景情况:

跌倒伤害率的上升与供应商在跌倒风险评估中的参与率较低有关.
研究了住院医疗服务提供者对跌倒风险评估的态度障碍.
将机构障碍与在更广泛的临床环境中发现的障碍进行比较.

研究的目的:

确定影响住院患者参与跌倒风险评估的态度障碍.
确定这些障碍是否与先前识别的临床障碍一致.
为未来的质量改进计划提供信息,旨在加强防摔策略.

主要方法:

文献审查以确定跌倒风险评估的障碍.
绘图确定了理论领域框架 (TDF) 的障碍.
开发和分发10项利克尔特量级调查,向医疗保健提供者提出开放式问题.

主要成果:

调查响应率较低 (9.1%).调查响应率较低 (9.1%).
大多数提供者 (72.6%) 将跌倒风险评估视为其角色的一部分,并认为它可以防止跌倒.
显著的障碍包括缺乏正式培训 (48.1%) 和优先考虑其他患者护理方面 (52.2%).
与TDF领域强烈相关的障碍:关于能力的信念和关于后果的信念.

结论:

干预措施应针对提供者的动机和能力,以评估落风险.
解决跌倒风险评估的优先级是提高质量的关键.
未来的项目应侧重于克服已识别的态度和实际障碍,以提高患者的安全.

关键词:

理论领域框架理论领域框架障碍物障碍物障碍物布布布的情况在住院患者.

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