实施ABC方法的过程评估,这是一种针对治疗脑损伤患者具有挑战性行为的护士的干预措施
Climmy Pouwels1,2,3, Peggy Spauwen4,5, Hilde Verbeek6
1Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, The Netherlands. climmy.pouwels@dezorggroep.nl.
BMC nursing
|May 27, 2024
概括
实施新的医疗保健方法,如ABC方法,需要及时解决已识别的障碍. 成功的采用取决于量身定制的策略和专门的支持,以确保患者护理的有效性.
科学领域:
- 医疗保健创新 医疗保健创新
- 临床心理学 临床心理学
- 康复医学是康复的医学.
背景情况:
- 医疗保健组织经常引入新的工作方法,但不理想的实施可能会降低效率并对员工产生负面影响.
- 简单化的行为修改技术ABC方法,专注于如何影响行为,并由环境保持.
研究的目的:
- 在住院脑损伤单位实施ABC方法.
- 评估这种新的医疗保健方法的实施过程的质量.
主要方法:
- 在为脑损伤患者的四个住院部门使用了阶梯式形设计.
- 一个系统的过程评估采用了桑德斯等人. "的框架,用定量数据进行描述性分析和定性数据进行聚类.
主要成果:
- 对ABC方法的培训是成功的,护理人员充满热情和参与.
- 虽然规划和会议是充足的,但促进者和障碍物没有及时解决,阻碍了学习和应用.
结论:
- 实施,而不是培训,是引入ABC方法最具挑战性的方面.
- 针对特定障碍的量身定制,基于证据的战略对于成功的医疗保健创新至关重要.
- 迅速解决瓶,并建立由管理层支持的"冠军"对于有效的方法实施至关重要.
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