一个量身定制的退出实施策略,以减少低价值的家庭护理:混合方法可行性研究
Benjamin Wendt1,2, Minke S Nieuwboer2,3, Hester Vermeulen1,2
1Radboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands.
Journal of advanced nursing
|November 14, 2024
概括
通过RENEW战略,在家庭医疗保健中显著减少了低价值护理时间. 这种多层面的去实施方法被证明是可接受的,可实施的,具有成本效益和可扩展的,用于改善护理服务.
科学领域:
- 护理护理的质量护理的质量
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 护理中的低价值护理降低了效率和患者的结果.
- 需要有效的策略来消除在家庭环境中不必要的护理干预.
研究的目的:
- 评估RENEW战略对减少低价值护理服务的影响.
- 评估RENEW在家庭护理中的可接受性,可实施性,成本效益和可扩展性.
主要方法:
- 混合方法设计涉及七个家庭医疗保健团队.
- 对干预前后的护理频率和时间 (分钟/周) 的定量分析.
- 对半结构面试和文件进行定性分析,以确定影响因素.
主要成果:
- 在统计学上显著地减少了用于低价值护理的时间 (17.94%).
- 低价值护理的频率没有显著减少.
- 确定了79个影响因素,其中实用工具,辅导和经验分享是关键.
结论:
- 在家庭医疗保健中,RENEW战略有效地减少了低价值的护理服务.
- RENEW是有条件接受的,可实施的,具有成本效益的,并且可以在微小的修改下进行扩展.
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