它需要一个村庄:从成治疗计划人员的反表明支持改变摄入过程的支持
Margo C Hurlocker1, Hannah A Carlon1, Alexandra Hernandez-Vallant2
1Department of Psychology, University of New Mexico, Albuquerque, NM 87131, United States of America; Center on Alcohol, Substance use, and Addictions, University of New Mexico, Albuquerque, NM 87106, United States of America.
吸收成治疗过程需要改进,以减少高消耗率. 修改服务的交付方式,而不仅仅是评估的内容,可以提高客户的参与度和保留率.
科学领域:
- 实施科学 实施科学
- 药物成治疗 药物成治疗
- 医疗保健过程改进
背景情况:
- 在门诊成治疗中,尽管进行了全面的摄入评估,但仍然存在高消耗率.
- 摄入服务的交付方法,而不是仅仅是内容,可能会影响客户的参与和保留.
- 实施研究综合框架 (CFIR) 提供了一个在摄入过程中识别创新的结构.
研究的目的:
- 收集来自成治疗人员关于当前摄入流程的反.
- 通过CFIR框架识别促进者和阻碍者,以实施采纳过程中的变化.
主要方法:
- 在CFIR框架的指导下采用混合方法设计.
- 来自新墨西哥州成治疗计划的人员 (N=79) 完成了准备措施.
- 半结构面试 (N=38) 探索了摄入过程变化的障碍和促进者.
主要成果:
- 员工报告称对组织变革的准备和能力中等至高.
- 关于目前的招聘流程和整合动机面试 (MI) 的观点,出现了九个主题.
- 主题涵盖了招聘流程,组织文化,沟通,客户需求,MI知识和MI实施.
结论:
- 特定的摄入组件和程序使客户脱离并使员工过度负担.
- 关键的利益相关者和资源对于改善招聘流程至关重要.
- 建议针对特定摄入量和程序变化,以提高治疗参与度.
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