计划实施成功:从进行实施需求评估的见解
Nicole D Graham1, Ian D Graham1,2, Brandi Vanderspank-Wright1
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
JBI evidence implementation
|August 27, 2024
概括
进行实施需求评估,结合环境扫描和证据与实践差距分析,为医疗保健机构的规划提供了宝贵的见解. 这种方法量化了实践差距,并告知了有针对性的改进.
科学领域:
- 医疗实施科学 医疗实施科学
- 医疗服务研究 医疗服务研究
背景情况:
- 实施需求评估对于有效的医疗保健干预至关重要.
- 不那么研究密集的环境需要量身定制的需求评估方法.
- 了解当地环境对于成功实施至关重要.
研究的目的:
- 为进行实施需求评估提供见解.
- 用一个案例来说明这个过程,在一个不那么研究密集的环境中.
- 证明结合环境扫描和证据与实践差距分析的价值.
主要方法:
- 在5个月内进行了实施需求评估.
- 包括组织网站的环境扫描和关键信息员讨论.
- 使用电子报告的图表审计方法分析了镇静中断的证据与实践差距.
主要成果:
- 环境扫描为证据与实践差距分析提供了有价值的背景.
- 一项精心设计的差距分析显示,镇静药中断的合规率在65%至84%之间.
- 即使小样本也可以产生有意义的合规数据.
结论:
- 实施需求评估对于为规划提供信息是有价值的.
- 环境扫描和差距分析是必不可少的组成部分.
- 量化当地实践与所需的最佳实践之间的差异是关键.
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