了解和导航农村初级保健机构在实施心理健康协作护理时面临的独特障碍
Elizabeth J Austin1, Elsa S Briggs2, Angel Cheung3
1Department of Health Systems and Population Health, School of Public Health, University of Washington, 3980 15th Ave NE, Box 351621, Seattle, WA, 98105, USA. austie@uw.edu.
Community mental health journal
|September 6, 2024
概括
在农村初级保健 (RPC) 环境中实施协作护理模式 (CoCM) 提出了独特的挑战. 针对RPC环境量身定制的策略可以克服COVID-19大流行和员工可用性等障碍.
科学领域:
- 医疗保健管理的管理
- 初级保健研究研究初级保健研究
- 实施科学 实施科学
背景情况:
- 农村初级保健 (RPC) 诊所在采用协作护理模式 (CoCM) 时遇到明显的障碍. 了解这些挑战对于成功的整合至关重要.
- 协作护理模式 (CoCM) 是一种基于证据的方法,用于将心理健康护理纳入初级保健机构.
研究的目的:
- 探索农村初级保健工作人员和实践辅导员 (PFs) 关于 CoCM 实施障碍和辅导者的观点.
- 在RPC环境中确定特定的背景策略,以克服实施挑战.
主要方法:
- 一种混合方法的方法,结合了来自23家诊所的459项调查的定量调查数据和与11家诊所工作人员和PF进行的定性访谈.
- 从实践辅导员关于障碍和辅导员的月度报告中获得的定量数据被描述性地分析.
- 从半结构面试获得的定性数据使用快速评估过程进行分析,并与定量发现进行三角化.
主要成果:
- 发现的最重要的障碍是COVID-19大流行,有限的现场工作人员可用于实施活动,以及招聘新的CoCM工作人员.
- 定性数据提供了细微的见解,了解这些障碍如何具体影响RPC设置.
- 实践辅导员在459次临床互动中报告了障碍和辅导员.
结论:
- 农村初级保健机构面临着协作护理模式的独特实施障碍.
- 量身定制的实施策略对于在RPC环境中成功采用CoCM至关重要.
- 解决诸如流行病扰乱,员工参与和劳动力变化等挑战是推动农村医疗保健中CoCM发展的关键.
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