医院的组织特征 满足STRIDE计划 采用基准来支持住院人员的流动性
Leah L Zullig1,2, Connor Drake1,2, Amy Webster1
1Durham VA Health Care System, Durham, NC, USA.
概括
组织因素,如弹性和准备能力影响基于证据的程序采用. 简单的上下文因素,如资源可用性,可以预测新计划的成功实施.
科学领域:
- 实施科学 实施科学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 传播以证据为基础的程序是具有挑战性的,因为特定地点的上下文变化.
- 预测计划采用的有效措施有限.
- 了解组织特征对于成功实施计划至关重要.
研究的目的:
- 检查实施STRIDE步行计划的退伍军人事务医院的组织特征.
- 确定这些特征如何影响程序采用.
- 确定基于证据的计划成功实施的预测因素.
主要方法:
- 采用了并行的混合方法设计.
- 评估了组织特征,包括弹性,实施气候,准备变化,现场复杂性,物质支持,停留时间 (LOS) 和改进经验.
- 数据是通过采纳表格和在医院采用采用基准的定性访谈收集的.
主要成果:
- 31%的医院达到了STRIDE计划的采用基准.
- 复杂性较低的地点,资源的可用性,高于中位数的LOS和先前的实施经验与更高的采用率有关.
- 采用医院报告了更高的组织弹性和准备变化.
- 人员挑战被认为是障碍,而足够的人员则促进了实施.
结论:
- 组织的弹性和准备变化与计划采用有积极的关联.
- 网站复杂性和资源可用性等因素可以预测采用.
- 简单的上下文因素可能会显著影响新计划的采用,即使支持最小.
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