培训提供者实施心力衰竭共享医疗预约:定性评估
Rene Hearns1, Sherry L Ball1, Tai-Lyn Wilkerson1
1VA Northeast Ohio Healthcare System, Medicine Service, Cleveland, OH, United States of America.
PloS one
|November 20, 2024
概括
共享医疗预约 (SMA) 改善了慢性病的自我管理. 形成性评估适应了SMA培训,导致更短的在线模块,个性化指导和改进的团队建设,以更好地采用和可持续性.
科学领域:
- 提供医疗保健的模式.
- 慢性疾病管理 慢性疾病管理
- 医疗服务研究 医疗服务研究
背景情况:
- 共享医疗预约 (SMA) 增强了患者对慢性疾病的自我管理,并优化了医疗保健资源的利用.
- 尽管有潜在的好处,但SMA的广泛实施面临着挑战.
- 有效的培训对于SMAs的成功采用,实施和可持续性至关重要.
研究的目的:
- 为实施以健康为重点的共享医疗预约 (HF-SMAs) 进行为期两天的培训计划进行发展性形成性评估.
- 调整现有的培训计划,以更好地满足医疗保健团队的需求和资源.
- 确定具体的适应措施,以提高HF-SMA培训计划的有效性和可扩展性.
主要方法:
- 在培训前,培训后和实施后的阶段,对医疗保健团队成员进行了定性形成性评估.
- 数据收集方法包括采访,培训会的观察和会议记录的审查.
- 采用矩阵分析来分析定性数据,并确定计划适应的关键主题.
主要成果:
- 参与者报告说,培训是全面的,有用的和有益的,重视培训师的经验和共享的经验.
- 确定了六个关键的适应:将培训缩短为在线模块,根据当地需求定制课程,纳入一对一的指导,根据团队角色量身定制内容,增强团队建设活动,完善信息传递.
- 虚拟形式被认为是成功的,并介绍了适应的培训模式.
结论:
- 形成性评估成功地确定并实施了改进,以加强HF-SMA培训计划.
- 修订后的培训模式为实施SMA提供了更灵活,更有针对性和潜在的可持续的方法.
- 建议使用比较设计进行进一步的研究,以衡量这些适应对SMA成功和长期可持续性的影响.
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