评估INFORM (通过对绩效数据的反改善养老院护理):加拿大养老院的改进倡议) 的现实世界实施情况
概括
通过对绩效数据的反来改善养老院护理 (INFORM) 干预措施,适应现实环境,显示了养老院管理人员的积极结果. 尽管存在运营挑战,但成功取决于当地目标设定和外部支持.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 养老院管理局 养老院管理
背景情况:
- 通过对绩效数据的反 (INFORM) 改善养老院护理的干预措施以前已经证明了积极和持续的结果.
- 这项研究报告了INFORM的形成性服务评估,适用于现实世界的实施.
研究的目的:
- 在现实环境中评估修改后的INFORM干预 (INFORM BC).
- 评估养老院团队,学术团队和省级实施团队的经验和成果.
主要方法:
- 在服务评估中采用混合方法设计.
- 数据收集包括来自不列颠哥伦比亚省26家养老院的调查,讨论,观察和文档审查.
- 在三个利益相关方组中使用了便利性抽样:养老院团队,学术团队和BC实施团队.
主要成果:
- 大多数养老院团队发现该倡议对当地需求有用和相关,报告了积极的结果.
- 关键的成功因素包括将外部支持与本地目标设定和绩效测量相结合.
- 实施的挑战包括时间限制,COVID-19的中断,以及团队之间的角色明确性问题.
结论:
- INFORM BC为养老院管理人员和团队提供了变革规划和可转移的学习.
- 外部便利性支持了当地成功,最终是由养老院定义和实现的.
- 未来的研究应该检查结果的可持续性和INFORM方法在实践中的适应性.
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