定义从新到正常的过渡:对临床变化过程的定性调查
Santana R Silver1, Kayla Christine Jones1, Kimberly Hook2
1Boston University Chobanian & Avedisian School of Medicine.
Research square
|June 3, 2024
概括
当新的临床实践被整合到工作流程中,扩展到整个组织,并由员工拥有时,就会成为标准护理. 策略包括以患者为中心的方法和持续的进度测量,以成功实现正常化.
科学领域:
- 医疗保健 实施 科学 科学
- 临床实践变化 临床实践变化
- 医疗保健中的组织行为
背景情况:
- 确保医疗保健与当前知识保持一致,需要了解新干预措施如何成为标准实践.
- 需要严格的方法来确定何时将临床实践规范化为标准护理.
- 本研究通过探索医疗保健组织内临床实践变化的正常化过程来解决这一差距.
研究的目的:
- 质量地探索临床实践规范化背后的机制,时间和原因.
- 确定关键指标和策略,以规范化新的基于证据的干预措施.
- 为开发用于测量临床变化过程的工具提供信息.
主要方法:
- 在实施科学领域的17位临床领导者的有目的抽样.
- 半结构面试,以收集定性数据.
- 分析以规范化过程理论 (NPT) 框架为指导,并与实施变革 (ERIC) 战略的专家建议进行映射.
主要成果:
- 四个关键信号表明正常化:工作流程集成,组织扩展,员工购买和持续的实践,没有持续的监控.
- 突出的正常化策略包括以患者为中心的方法,确保员工的参与,以及持续的进度测量.
- 规范化过程理论 (NPT) 为理解这些复杂的变化提供了一个框架.
结论:
- 新的临床实践通过特定的指标和战略便利化来规范化.
- 结果为实施领导者提供了洞察力,以系统地测量临床变化.
- 未来的研究可以开发工具来评估基于证据的干预措施的规范化.
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