基于证据的实践在长期护理中的实施:一个范围审查
Ellen L McGough1, Hilaire J Thompson2
1Physical Therapy Department, University of Rhode Island, RI, USA.
概括
在长期护理 (LTC) 中成功实施基于证据的实践需要量身定制的教育和强有力的沟通策略. 面对面的交付和同行冠军是卫生保健工作人员采用和可持续性的关键.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 长期护理 长期护理
背景情况:
- 基于证据的实践 (EBP) 对于改善长期护理 (LTC) 环境中的护理质量至关重要.
- EBP的成功采用和可持续性在很大程度上取决于有效的实施战略.
- 前线医疗保健人员和设施管理人员在实施过程中发挥着至关重要的作用.
研究的目的:
- 系统地审查在长期护理 (LTC) 环境中使用的实施策略.
- 确定影响设施和医疗保健人员采用和可持续使用EBP的因素.
- 为优化在LTC中的EBP实施提供见解.
主要方法:
- 在三个数据库中对文献进行了全面的范围审查.
- 研究选择和数据提取是由两个研究人员独立执行的.
- 行动,参与者,上下文,目标,时间 (AACTT) 框架指导了数据提取,并评估了研究质量.
主要成果:
- 十一项研究符合纳入标准,重点关注有效实践和护理组织 (EPOC) 分类中的干预措施,特别是护理流程的协调和管理.
- 障碍包括工作流程/工作负载时间,员工怀疑以及范围/培训问题.
- 积极的实施因素包括面对面的沟通,异步培训和同行冠军的可用性.
结论:
- 在LTC中,有效的实施策略需要强有力的沟通,包括面对面的交付和同行支持.
- 针对个体培训和经验水平的定制教育对于成功采用EBP至关重要.
- 这些发现强调了需要进行战略规划,以克服障碍,并在LTC环境中提高EBP的可持续性.
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