实施危机解决团队服务改进计划:对成功的关键成分进行定性研究
Danielle Lamb1, Alyssa Milton2, Rebecca Forsyth3
1Department of Applied Health Research, UCL, Gower Street, London, WC1E 6BT, UK. d.lamb@ucl.ac.uk.
International journal of mental health systems
|May 4, 2024
概括
一个结构化的服务改进计划 (SIP) 提高了危机解决团队 (CRT) 对最佳实践模型的忠诚度. 灵活性和支持对于在资源有限的团队中管理服务改进至关重要.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 改善医疗保健质量 改善医疗保健质量
- 服务交付模式 服务交付模式
背景情况:
- 危机解决团队 (CRT) 提供家庭心理健康危机护理,作为住院治疗的替代方案.
- 在英国,CRT效率的变化促使开发服务改进计划 (SIP).
- 核心研究评估了基于忠实模型的12个月SIP的实施情况.
研究的目的:
- 质量评估CRT员工,经理和辅导人员对服务改进计划 (SIP) 的观点.
- 确定实施SIP的障碍和促进者.
- 了解服务改进发生的机制.
主要方法:
- 使用半结构焦点小组和个人访谈进行定性评估.
- 包括管理人员和员工在内的六个CRT和六个辅导员的有目的抽样.
- 用专题分析来分析收集的数据.
主要成果:
- 大多数参与者发现SIP组件有助于实践改进,尽管在线资源未得到充分利用.
- 关键的障碍包括员工缺乏时间和所有权;高级员工和辅导员的支持至关重要.
- 与忠诚模式进行基准测试,并感觉自己是更大计划的一部分,被利益相关者重视.
结论:
- 结构化的SIP增加了对CRT最佳实践模型的忠诚度.
- 所有利益相关方的灵活性对于时间和资源有限的团队中可管理的服务改进至关重要.
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