关于多层次实施假设的专家共识,以促进青少年关怀指南的采用:德尔菲研究
Eveline M Dubbeldeman1, Rianne M J J van der Kleij2, Evelyn A Brakema2
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands. E.M.Dubbeldeman@lumc.nl.
Health research policy and systems
|August 2, 2024
概括
这项研究确定了影响青年护理指南实施的关键因素,并制定了基于证据的假设,以改善结果. 这些假设将行为改变技术与实施策略联系起来,以获得更好的结果.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 儿童和青少年健康 儿童和青少年健康
背景情况:
- 青年护理指南的实施是复杂的,战略和决定因素之间的联系不清楚.
- 行为改变技术 (BCT) 对于了解战略如何影响实施至关重要.
- 需要基于证据的实施假设来指导实践.
研究的目的:
- 确定与青年护理指南实施相关的决定因素.
- 制定可行和潜在有效的实施假设.
主要方法:
- 一项四轮在线修改的Delphi研究,涉及14名专家.
- 专家评价了决定性相关性,制定了将BCT和策略与决定性联系起来的假设,并评价了假设的有效性和可行性.
主要成果:
- 共有14名专家参加了这次会议,11名专家完成了最后一轮的讨论.
- 关键决定因素包括指南推广,强制性教育,实施领导,管理支持,知识和沟通技巧.
- 制定了46个假设,在每个决定因素中确定了最可行和最有效的特定假设.
结论:
- 青年护理指南实施的相关决定因素包括参与,知识和技能.
- 该研究提供了一套假设,以指导组织,政策制定者和专业人士.
- 需要进一步的研究来评估这些实施假设的实际有效性.
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