一种混合型III分析,对拍摄的讲故事干预对提供者耻辱的影响
Sally Wasmuth1, Johnna Belkiewitz1, Edward Miech1
1Indiana University, Indianapolis, USA.
OTJR : occupation, participation and health
|August 1, 2024
概括
外部促进成功支持了身份发展进化和共享 (IDEAS) 的实施,显著减少了职业治疗从业者之间的提供者耻辱.
科学领域:
- 职业治疗是一种职业疗法.
- 实施科学 实施科学
- 医疗保健提供者教育
背景情况:
- 身份发展,演变和共享 (IDEAS) 有效地减少了提供者的耻辱感.
- 对IDEAS实施的有限培训需要有效的策略来实现更广泛的采用.
- 外部促进是提高IDEAS实施的潜在策略.
研究的目的:
- 评估外部促进在支持IDEAS实施方面的有效性.
- 评估IDEAS对减少多个站点的提供者耻辱的影响.
- 确定IDEAS实施与促进的可行性,可接受性和适当性.
主要方法:
- 十个网站在外部协助下实施了IDEAS.
- 关键信息人员完成了关于适当性,可接受性和可行性的采访和调查.
- 采访使用实施研究综合框架 (CFIR) 进行了分析.
- 干预措施的有效性是用对对的t测试对前/后提供者污名化数据进行测量.
主要成果:
- 通过外部协助,所有10个地点都成功实施了IDEAS.
- 来自9个地点的58名从业者报告说,干预后提供者耻辱感显著下降.
- 理念证明了减少耻辱的可行性,可接受性和适当性.
结论:
- 外部促进是实施IDEAS的可行策略.
- IDEAS有效地减少了职业治疗中提供者的耻辱感.
- 简化 IDEAS 实施是解决医疗保健环境中耻辱的实际方法.
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