社区利益相关者如何以及为什么参与英格兰国家中风审计? 来自混合方法在线调查的结果
L Russell1,2, N Chouliara3,4, S Lewis3
1University of Nottingham, Nottingham, UK. Lal.russell@nottingham.ac.uk.
BMC health services research
|November 7, 2024
概括
国家中风审计通过收集与标准相对应的数据来改善护理. 这项研究探讨了社区利益相关者如何感知和使用审计数据来提高中风康复的质量.
科学领域:
- 医疗保健质量改善研究 医疗保健质量改善研究
- 脑卒中康复科学 脑卒中康复科学
- 医疗服务研究 医疗服务研究
背景情况:
- 国家审计计划使用基于证据的标准来评估医疗保健质量.
- 哨兵中风国家审计计划 (SSNAP) 历来专注于医院护理,在推动改进方面被证明是有效的.
- 国家审计对社区中风护理的影响仍未得到充分研究.
研究的目的:
- 调查社区利益相关者对国家中风审计计划的看法.
- 了解社区利益相关者如何参与和利用审计数据以提高质量.
主要方法:
- 这项研究以现实主义的方法为指导,结合了中风临床医生和审计专家的见解.
- 基于文献,开发了一项18项 (利克特尺度,是/否,自由文本) 的在线调查.
- 该调查针对英格兰各地多样化的社区中风利益相关者.
主要成果:
- 一个由206个利益相关方组成的全国样本参与了调查,报告了大量的参与和资源投入.
- 审计反被用于各种改进举措,包括人员配置和服务重组.
- 影响参与和反利用的关键因素包括在线平台,数据准确性和领导力支持.
结论:
- 意识到审计对社区中风康复的潜力,需要注意数据收集,组织支持和反参与.
- 调查结果表明,需要加强战略,以优化社区环境中审计数据的使用.
- 该研究强调了利益相关者参与推动急性中风后护理质量改善的重要性.
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Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...