在挪威的中介护理服务中实施四种习惯模型:一个过程评估
Linda Aimée Hartford Kvæl1,2, Pål Gulbrandsen3,4, Anne Werner4
1Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway. linaim@oslomet.no.
BMC health services research
|October 8, 2024
概括
在中介护理 (IC) 中实施四习惯模型 (4HM) 沟通培训改善了员工实践. 这个可行的计划通过解决沟通中断和将新技能整合到日常生活中来增强患者护理.
科学领域:
- 医疗保健沟通策略 医疗保健沟通策略
- 在临床实践中实施科学.
- 老年人中介护理服务.
背景情况:
- 中间护理 (IC) 服务对于老年患者从医院转移到家庭至关重要.
- 标准化的IC服务往往导致沟通中断,阻碍患者参与康复.
- 有效的沟通模型,如四习惯模型 (4HM),在日常医疗保健中未得到充分利用.
研究的目的:
- 在中介护理 (IC) 环境中调查四习惯模型 (4HM) 的实施过程.
- 评估医疗保健专业人员和管理人员之间的4HM沟通培训的整合和可持续性.
主要方法:
- 一种混合方法的过程评估,使用定性采访 (课程前和课程后) 和焦点小组.
- 通过规范化措施安全发展 (NoMAD) 问卷进行定量评估,课程结束四个月后进行.
- 以规范化过程理论 (NPT) 和NoMAD数据的描述统计数据为指导的分析.
主要成果:
- 定性分析揭示了理解,合法化,整合和嵌入4HM到IC服务的主题.
- 医疗保健专业人员和管理人员报告了沟通习惯的积极变化以及需要4HM整合的需求.
- 在NoMAD问卷调查结果显示,4HM原则在临床实践中持续使用超过最初的四个月.
结论:
- 4HM通信培训计划是可行的扩展在IC服务.
- 员工和管理人员都认为这项培训对解决沟通问题和促进变革准备有重要意义.
- 研究结果表明,通过加强沟通,可以改善老年患者及其亲属的IC服务.
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