在医疗保健服务中实施和使用Safewards模型:范围审查
Kristel Ward-Stockham1,2, Catherine Daniel1,3, Helena Bujalka1
1Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Australia.
International journal of mental health nursing
|May 6, 2024
概括
实施Safewards模型,一种心理健康护理干预,带来了挑战. 有效的实施需要详细的描述,协作和领导才能在医疗保健机构中成功改进实践.
科学领域:
- 心理健康护理 心理健康护理
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- Safewards是一个多干预模式,旨在减少心理健康环境中的冲突和制.
- 它的应用已经扩展到传统的心理健康服务之外,表明了更广泛的实用性.
- 实施往往具有挑战性,需要结构化,基于证据的方法.
研究的目的:
- 在不同的医疗保健环境中绘制Safewards实施策略.
- 描述在评估Safewards的研究中测量的结果.
- 确定影响Safewards培训和实际实施的促进者和障碍.
主要方法:
- 以乔安娜·布里格斯研究所的方法论和PRISMA扩展范围审查为指导的全面范围审查.
- 包括国际上Safewards实施的定量,定性和混合方法研究.
- 数据提取和报告遵循了TIDieR检查清单中的12个项目.
主要成果:
- 有27份出版物详细介绍了Safewards的实施情况,但对具体干预措施 (材料,程序,修改,培训) 的报告往往是有限的.
- 在所有研究中都没有发现一致的理论实施框架.
- 合作,领导,反和共同设计成为员工参与和成功实施的关键驱动力.
结论:
- 对干预措施的详细描述对于Safewards的透明度,可复制性和通用性至关重要.
- 报告不足阻碍了对临床治理和实施流程的理解,并使复制工作复杂化.
- 虽然协作和领导力有助于买入,但缺乏详细的报告阻碍了Safewards的一致应用和评估.
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